EmailMeForm
Complaints and allegations form
Name
*
First
Last
Your email
*
Phone
*
Do you prefer to be contacted, if necessary, by
Email
Phone
Either
Do you require assistance to participate in the complaint process?
No
Yes - Describe
All complaints go to the HR team and/or HR Manager, as well as to other relevant people as listed below, unless HR are the subject of the complaint
All complaints also go to the CEO, unless the complaint is about the CEO
Subject of the complaint ⇒ who gets the complaint.
*
Agency in general ⇒ Managing Director and Impact Board
CEO ⇒ Managing Director and Impact Board
House Coordinator ⇒ Operations Manager
Human Resources ⇒ Managing Director
Managing Director ⇒ CEO and Impact Board
Office staff (accounts, admin, etc) ⇒ Managing Director
Operations Manager ⇒ Managing Director
Therapeutic Care Worker (YW) ⇒ HR who will forward to relevant people
Therapeutic Program Manager ⇒ Operations Manager
Other ⇒ HR and Managing Director
Complaint details
Location connected to the complaint
House or program, office, etc.
Name of the person against whom the complain is made, if known
When did the alleged event(s) happen?
Date and time if applicable
Details of the complaint
*
Please provide copies of any documents that support the claims in your complaint.
How do you think the complaint could be resolved?
*
Supporting Information
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