HCCSC Complaint Form

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The Stark County homeless system operates according to policies you can find on the Charter & Policies page under the Members Resources tab of the Starkcountyhomeless.org website. You have a right to file a complaint with the Stark Housing Network Inc. if you believe you have been the victim of discrimination in the application process of these policies.

If you believe that you have been a victim of discrimination in the application process and would like to file a complaint with the Stark Housing Network Inc., please complete this form and hit SUBMIT at the end of the form. Your form will automatically be emailed to the Stark Housing Network, Inc.

Email *

Date Complaint Submitted *

YYYY

Complainant's Name *

Complainant's Contact Information: Include any or all of the following so that we may reach out to you: Address, Phone Number, Email *

Agency Against Which the Complaint is Being Filed *

Details of the Complaint *

Explanation of Any Step the Complainant Has Taken to Resolve this Matter with the Responsible Agency:
*

Send me a copy of my responses.

Submit

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