Get Md Doh Bswe Complaint Form 2018-2026

Filing a complaint against a social worker is an important step towards ensuring accountability and maintaining professional standards in social work. This guide provides clear instructions on how to fill out the Maryland Department of Health Board of Social Work Examiners Complaint Form online.

Follow the steps to successfully complete the complaint form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Identify the person the complaint is filed against by completing their first name, middle name, last name, address, city, daytime number, license number, state, zip code, email, and name of employer.
3. In the section labeled 'Person Filing Complaint', select the applicable situation from the list, such as client, family/friend, self report, agency, insurer, licensed professional, or other. If you select 'other', please provide a brief description.
4. Provide personal information about yourself, including your first name, middle name, last name, address, city, daytime number, cell number, state, zip code, fax number, and email.
5. Answer questions regarding child custody issues if applicable, following the prompts to determine if the complaint concerns such an issue.
6. Describe whether you have attempted to resolve this complaint directly with the health care provider and detail the response received if applicable.
7. Indicate if you have addressed your concern with your attorney or the court, providing an explanation in either case.
8. Compose a statement of events surrounding your complaint, including dates, names of witnesses, and documents related to your complaint.
9. Fill in the names and addresses of any witnesses you have, ensuring to include their personal information and contact details.
10. Indicate your willingness to provide a sworn statement regarding the complaint by selecting 'yes' or 'no'.
11. Complete the release of information section, indicating whether the Authorization for Release of Information form is completed and attached.
12. By signing the complaint, assert that all the provided information is true to the best of your knowledge, and include the date and your signature.
13. After completing the form, you can save changes, download, print, or share the form according to your needs.

Begin the process of filing your complaint by completing the MD DoH BSWE Complaint Form online today.