Complaint Form

FIRST NAME *

LAST NAME

PHONE NUMBER *

EMAIL ADDRESS *

ADDRESS *

WHAT IS YOUR COMPLAINT ABOUT? *

COMPLAINT DETAIL: (Please tell us what CLC service you are complaining about, what happened, when, and who was involved – all we need to know to investigate your complaint) *

ATTEMPTS TO RESOLVE THE COMPLAINT: (If you have you tried to resolve this issue directly with the CLC section that deals with this matter please tell us who you spoke with, and when) *

ATTACHMENTS: (Please attach any documents or photos that help us investigate your complaint)

Click or drag a file to this area to upload.