Constituent Complaints

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Constituent Complaints

Constituent Complaints Form

Case Number, if known:

Client Name, if applicable:

First Last

Complainant Name:(Required)

First Last

Name of person completing the form if not the complainant: (if applicable)

First Last

Relationship to Client, if applicable:

Phone Number:(Required)

Email(Required)

Mailing Address (Optional)

Who is your complaint/concern about? What is their role (e.g., attorney, staff, etc.)?(Required)

Please provide a brief description of what happened that concerns you. If the complaint is tied to a specific case, you do not need to include the full history of the case to protect confidentiality.(Required)

Have you talked to the person about your concerns? If so, when did you discuss it? What happened after discussing it?(Required)

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Constituent Complaints

Constituent Complaints Form

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