We Want to Hear From You

Concerns and Complaints - Community

Who is this Form for?

This form is for anyone in the community to express concerns and complaints about any aspect of ICCS operations. See our Feedback Page for other ways to respond.

Are you a client?

If you are a client if ICCS please see our client complaint form: Feedback Page

Name - we appreciate knowing who has provided feedback, but your name is optional

First Last

Name

Which program or service does this relate to?(Required)

Please provide details below about your concern or complaint:(Required)

Have you talked with someone about your concerns?(Required)

Yes

Unsure

Who did you speak to?

How would you like us to resolve it?

How would you like us to contact you if needed? (phone number, e-mail, etc.)

Is there anything you would like to add?

Did someone provide assistance with this form?

Yes

I'm submitting this form on behalf of the person named above. My name and relationship to the person is:

Leave this field blank if no-one assisted you.

Contact information for the person assisting with this form.

Leave blank if no-one assisted with this form.

Thank you for taking the time to let us know about your concern. We value feedback and take seriously all the complaints we receive. REMEMBER TO CLICK SUBMIT BELOW.

Phone

This field is for validation purposes and should be left unchanged.

We Want to Hear From You

Concerns and Complaints - Community

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