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GBMAHP - Complaints
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* Required
Full Name
*
Your answer
Email Address
*
Your answer
Cell Phone
*
Your answer
Mailing Address
*
Your answer
Describe the Complaint
*
Your answer
Date Received
*
MM
/
DD
/
YYYY
Date Complaint Acknowledged
*
MM
/
DD
/
YYYY
Is the Complaint A Breach of Policy, Tenancy Agreement, or New Zealand Law?
*
Yes (Forward complaint to Executive Officer and Trust Chair)
No
Maybe (Forward complaint to Executive Officer and Trust Chair)
Actions Taken to Resolve Complaint
*
Your answer
Has the Complaint Been Resolved to the Complainant's Satisfaction?
*
Yes
No
If Resolved Satisfactorily: Date of Resolution
MM
/
DD
/
YYYY
If Resolved Satisfactorily: Final Outcome
Your answer
If Not Resolved Satisfactorily: Recommended Next Steps
Your answer
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