CC Twin Cities - Client Complaint Form

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Name of program*

Choose one program

Dorothy Day Residence
Endeavors
Evergreen
Family Service Center Shelter
Glenwood
Higher Ground Minneapolis Shelter and Pay for Stay
Higher Ground Minneapolis Housing
Higher Ground St. Paul Men’s Shelter, Women’s Shelter and Pay for Stay
Higher Ground St. Paul Housing
Minneapolis Opportunity Center
St. Anthony Residence
St. Christopher Residence
St. Paul Opportunity Center
St. Paul Residence

Name*

First Last

Email*

Enter Email Confirm Email

Nature of complaint*

Details of complaint*

Describe your complaint in detail-e.g. what happened and who was involved:

Approximate date:*

Your main concerns are*

What you want done to resolve the issue:*

Items returned
Mediation (with staff and the people involved)
Corrective action (case manager meetings)
Other

Please share details about what you want to be done to resolve the issue:

If you would like to press charges, you have to do so independently.

I agree to the privacy policy.*

This privacy notice applies solely to information collected by this website.

We are the sole owners of the information collected on this site. We only have access to/collect information that you voluntarily give us via email or other direct contact from you. We will not sell or rent this information to anyone.

We will use your information to respond to you, regarding the reason you contacted us. We will not share your information with any third party outside of our organization, other than as necessary to fulfill your request’

Security
We take precautions to protect your information. When you submit sensitive information via the website, your information is protected both online and offline.

Wherever we collect sensitive information, that information is encrypted and transmitted to us in a secure way. You can verify this by looking for a lock icon in the address bar and looking for “https” at the beginning of the address of the Web page.

While we use encryption to protect sensitive information transmitted online, we also protect your information offline. Only employees who need the information to perform a specific job are granted access to personally identifiable information. The computers/servers in which we store personally identifiable information are kept in a secure environment.

I agree to the privacy policy.

Client complaint form

Client Complaint Form