Get Complaint/suggestion Form - Milwaukee County - County Milwaukee

This guide provides a clear and supportive overview of how to complete the Complaint/Suggestion Form for the Wraparound Milwaukee program. Whether you have a complaint or a suggestion, this step-by-step guide is designed to assist you in effectively conveying your message.

Follow the steps to fill out the form online effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the preferred document editor.
2. Begin by entering the name of the person filing the complaint or suggestion in the designated field. This information is essential for identification purposes.
3. Next, fill in the date when you are submitting the form. This ensures that your complaint or suggestion is recorded accurately in time.
4. Provide your complete address, including city, state, and zip code. This information helps in contacting you if further details are required.
5. Enter your phone number for any follow-up actions regarding your submission. If available, include a fax number.
6. Indicate your association with the Wraparound/Project O’YEAH by selecting the appropriate option such as parent, caregiver, or enrollee.
7. If applicable, write the name of the care coordinator or transition specialist you are working with, along with their agency and phone number.
8. If your complaint or suggestion is related to a specific enrollee, please provide their name in the relevant field.
9. If you are filing a complaint, specify the name of the person or agency the complaint is against. This helps direct your concern to the appropriate party.
10. In the details section, clearly outline the nature of your complaint or suggestion. Be as specific as possible by including relevant names, dates, and events.
11. If your complaint requires more space for details, use the back of the form or attach additional sheets of paper as needed.
12. If this is a complaint, describe any previous actions you have taken to address the concern and the outcomes of those conversations.
13. State what you would like to occur as a result of your complaint or suggestion. Clearly express your desired outcome.
14. Finally, sign the form to validate your submission. If a care coordinator or transition specialist completes the form on your behalf, their supervisor should also sign.
15. Once completed, you can save changes, download, print, or share the form as needed.

Take action today by completing the Complaint/Suggestion Form online and having your voice heard.