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Complaint Form

We value your feedback and want every resident to feel safe, respected, and supported while living at the House of Homes. If you have a concern, complaint, or issue that you would like our team to be aware of, please use this form to share it with us.

When completing this form, please provide factual information and avoid assumptions or personal attacks. All concerns will be reviewed respectfully and as fairly as possible. If you are experiencing an immediate safety concern or emergency, please contact staff directly rather than submitting this form.

Resident Information

Nature of Complaint

What is your concern about?

Details of the Concern

Approximate Time
Time
HoursMinutes

Frequency

Has this happened before?
No, this is the first occurrence
Yes, once or twice
Yes, multiple times
Ongoing concern

Impact

Additional Information

Acknowledgement

I understand that submitting this form does not guarantee a particular outcome. I understand that Fresh Start Support Services will review the concern and may need to speak with those involved before determining an appropriate response. I agree to provide information that is truthful and accurate to the best of my knowledge.

©2019 by Fresh Start Support Services   |   All Rights Reserved   |   Charitable Registration Number 107884074RR0001

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