DRSD Online Grievance Form
Contact Information
Full Name
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Address
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City
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State
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Postal code
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Phone
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Email
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Grievance or Complaint
What is your relationship to the grievance issue?
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I am a client or prospective clients of DRSD.
I am a family member or legal representative of a client or prospective clients of DRSD.
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What best describes your complaint or grievance? (See Grievance Descriptions Above)
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Denial of Service
Customer Service Concerns
Systemic Grievance
Sexual Harassment Grievance or Grievance of Discrimination
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Please Describe Your Grievance or Complaint
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