Contents -

Complaint Information



Complaint Description*

Describe the complaint in the text box provided.  Enter as much information as you can, including people involved (other than the actual subject of the complaint entered above), what happened, when the situation(s) occurred that you are complaining about, and where the situation(s) occurred.

Complaint Received Date*

Enter the date on which the complaint was received using the format MM/DD/YYYY.  The date is defaulted to the current date.

Method of Complaint*

Select the value for this field by using the down arrow () next to the field.

Concern Line

E-mail

Fax

Letter

Public Portal

Telephone

 

Once you have entered the information in the above fields, click on the Continue button.  The next page accessed allows you to record the complainant information.