Submit a Complaint
SCCC recognizes the value and dignity of each person and the right to be treated fairly and with respect. As such, the Agency wants you to know that you have the right to submit a complaint at any time.
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Your Name (Optional)
Your Email Address (Optional)
Your Phone Number (Optional)
What is your relationship to the Southern California Counseling Center? *
Please name the person(s) involved in your complaint. *
What is the nature of your complaint? [Please be sure to include the location, names of all parties involved, names of any witnesses, dates and details of the incident(s) that led to your complaint]
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Did the incident(s) that led to your complaint happen to you? *
Has this incident(s) occurred before? *
Did you report the incident(s) to an Agency staff member, supervisor or manager? *
Please provide any additional information you feel is relevant to this complaint.
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