Concern, Complaint, and Dispute Resolution Form

Concern, Complaint, and Dispute Resolution Form - New Item

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Concern, Complaint, and Dispute Resolution Process

This process is available to Persons Served, Employees, Stakeholders, Community Partners and Community Members. Complaints are received and assessed by the Director of Service and or Chief Operating Officer. For complaints requiring an alternative recipient, email to the Executive Director of Active Care at executivedirector@activecareservices.ca

If you would like to make this complaint anonymously, please complete the online form without including your name and contact information.

Active Care Services has a no-reprisal policy relative to those who voice complaints/concerns.

Please note that individuals may contact the funder directly with concerns and/or complaints at any time and without fear of reprisal.

Complaint Reported By

Contact Phone Number

Contact Email Address

Date Reported

Date of Incident

Please Describe the concern in as much detail as possible.

Have you reported the concern previously?

Yes

If yes, who did you report it to, and what was the outcome?

Attachments:

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