Get Nc Division Of Aging Complaint Tracking System / Case ... - Ncdhhs

Effectively documenting a complaint is essential for the resolution process in aging services. This guide provides clear instructions on how to fill out the NC Division of Aging Complaint Tracking System / Case Record form online, ensuring all necessary information is included for an effective review.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to obtain the form and open it in the editing interface.
2. Begin by entering the 'Case Number' provided for the specific incident you are reporting. This will help track your complaint more effectively.
3. Fill out the section for 'Total number of complainants per case.' Indicate how many individuals are involved in this complaint.
4. Provide the 'Facility Name' where the issue occurred. Ensure that this is spelled accurately for proper identification.
5. Indicate the 'County' in which the facility is located. This information is vital for jurisdictional purposes.
6. Fill in the 'Facility Code' associated with the location. This helps in identifying the facility within the state's system.
7. Record the 'Date Complaint Received' in the designated field. This date is crucial for determining the timeline of the complaint.
8. Specify the 'Action Taken' within the suggested timeframe options. Select the appropriate duration related to the response time.
9. Indicate how the complaint was received by marking the correct option: phone, visit, email, or other methods.
10. In the section regarding anonymity, indicate whether the complainant wishes to remain anonymous by selecting 'Yes' or 'No.'
11. Enter the complainant's name in the corresponding fields, ensuring accuracy in spelling for both first and last names.
12. Provide the address details of the complainant including city and zip code to facilitate communication.
13. Record the complainant's phone number in the appropriate section for future reference.
14. Specify the complainant's relationship to the resident involved, choosing from the list provided such as relative, friend, or advocate.
15. After filling in all relevant sections, review the information for accuracy. Once satisfied, you may save changes, download, print, or share the completed form accordingly.

Take the time to submit your complaint through the NC Division of Aging online portal to ensure appropriate action is taken.