Get Early Intervention Complaint Registry Form - Portal State Pa

Filing a complaint through the Early Intervention Complaint Registry Form is essential for advocating for children in need of support. This guide provides a step-by-step approach to completing the form online, ensuring that users feel confident throughout the process.

Follow the steps to complete the Early Intervention Complaint Registry Form online.

1. Press the 'Get Form' button to obtain the document, allowing you to open it in your preferred editor.
2. Indicate your preferred method of contact by selecting either phone or in-person and provide the necessary contact information, including numbers and availability.
3. Indicate whether you are filing the complaint on behalf of a specific child by selecting 'Yes' or 'No.' If 'Yes,' provide the child's name, address, and date of birth.
4. Specify the name of the Infant/Toddler or Preschool Early Intervention Program that you are addressing in your complaint.
5. Fill in your contact information and your relationship to the child, including your name, address, phone number, and your role as either a parent, attorney, advocate, community organization representative, or other.
6. Record the date on which the alleged violation occurred.
7. List any persons you wish the Early Intervention Advisor to interview, providing their names, occupations or titles, and contact information.
8. Compose a clear statement regarding the issue or violation, including a detailed description and facts supporting your allegations. You may use additional paper if necessary.
9. Outline what you believe to be a satisfactory remedy for the situation.
10. Sign and date the form, confirming that you have sent copies of the complaint to the appropriate Early Intervention program offices as required.

Complete the Early Intervention Complaint Registry Form online to ensure your concerns are addressed.