Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. In Section 1, provide your name as the individual filing the complaint or suggestion. This section may include youth, parent/guardian, or other family members.
3. Indicate your association with Wraparound by checking the appropriate box: Youth/Enrollee or Parent/Guardian.
4. Fill out your street address, city, state, and zip code to ensure that your contact information is accurate.
5. Provide your phone number for follow-up communication.
6. If applicable, enter the name of the associated Wraparound youth or enrollee.
7. If the submission is a complaint, list the name of the person or agency you are addressing your complaint against.
8. In section A, describe your complaint or suggestion in detail, including relevant dates, times, and any individuals involved in the situation.
9. In section B, explain what efforts you have made to resolve the issue prior to this submission, indicating if you spoke to the provider, Care Coordinator, or Child & Family Team.
10. In section C, describe what outcome you hope to see as a result of this complaint or suggestion.
11. Sign the form to affirm the authenticity of your submission and include the date of your signing.
12. Once you have completed the form, save your changes. You can then download, print, or share the form as needed.

Submit your completed form online to ensure your complaint or suggestion is heard.