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NC DIVISION OF AGING COMPLAINT TRACKING SYSTEM / CASE ... - Ncdhhs
Get NC DIVISION OF AGING COMPLAINT TRACKING SYSTEM / CASE ... - Ncdhhs
: Federal FY: Quarter: 6. Date Complaint Received: / 7. Action Taken within: / 8a. Previous Case Ref. #: / a. Phone b. Visit 9.Complaint Received via: d. Email e. 1-800 # f. Referral 8b. Estimated Time (hours) c. Mail a. b. c. d. 1-4 days 5-10 days 10-15 days Over 15 days g. Other 10. Complainant would like to remain anonymous: 11. Complainant's Name: / Yes Last Name No M First Name 12. Complainant's Address: City 13. Complainant's Phone: (Home) 14. Complainant is: a. b.
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E-9 FAQ
Please utilize the Complaint Form below to file the complaint. Please note if this complaint is concerning a care issue in a nursing home you need to call the Complaint Section for Nursing Homes under the Division of Health Service Regulation 919-855-4500.
For all other questions the DHHS Customer Service Center can assist in finding programs and people to help. Call 1-800-662-7030.
Please review the complaint FAQs or contact the Board's Complaint Department at 1-800-253-9653 (ext. 501).
Regular mail: If paper records and other documents must be submitted to the Board along with your complaint, send the complaint via regular mail. Please download a complaint form here. You may also call the Board (800-253-9653) to request that a complaint form be mailed to you.
Customers or clients may file a complaint using the NC DSS Civil Rights Complaint Form. Please fill out the form and provide a copy to the local county DSS Title VI Compliance Officer. To protect your rights you must file a complaint within 180 days of the date you believe you or someone else was treated unfairly.
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