Contents
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Complainant Information
Last Name or Organization Name*
Enter the complainant's last name in this field. If the complainant is an organization, enter the name of the organization in the Last Name field.
First Name
Enter the complainant's first name in this field.
Complainant Role
Select the value for this field by using the down arrow (
) next to the field.
Anonymous
Community Agency
Employee of Provider
Food Program
Municipal Offices
Neighbor of Provider
Other
Parent of Child in Provider's Care
Police Department
Provider
Relative of Child in Provider's Care
Social Services
Special Investigation Unit
Staff of Provider
Phone
Enter the telephone number for contact in this field using the format ###-###-####.
Home/Location Address
Enter the first line of the address in this field.
Address Line 2
Enter the second line of the address in this field.
City
Type the name of the city in this field.
Town
Select the name of the town by using the down arrow (
) next to the field.
State
The State has been defaulted to Vermont; however if another selection is needed, select the name of the state by using the down arrow (
) next to the field.
Zip Code
Enter the zip code in this field using the format #####-####.
E-mail Address
Enter the complete e-mail address for the complainant.
Once you have entered the information in the above fields, click on the Submit button. As a result, the next page accessed is the Complaint Submitted Confirmation page that confirms that the complaint has been submitted. A Complaint Number is assigned to the submitted complaint for future tracking. The use of this number tracking system will be done mainly through the Citizen and Provider portals as described below.