Dylan Jude Harrell Community Center Grievance Form - FRC
The following is our Grievance Policy - completing this form is part of step 2 in our grievance policy.

Informal Grievances/Complaints in general

  1. Grievances and or complaints will not be accepted for established policies and procedures, including things like 1) housing unit not passing inspection or 2) housing unit is deemed not rent reasonable. 

  2. A client may submit a grievance/complaint regarding the program and may file a grievance by submitting the grievance form. Once received, a program manager will respond to the grievance within 7 business days. The informal grievance process is not applicable for participants being terminated from the program. Participants who have received a termination notice from the program may request an informal hearing (detailed below). 

Informal Grievance Hearing The participant must be afforded the opportunity to request a review of the rental assistance program termination decision through an informal fair hearing. Opportunity for a fair hearing shall include:

  1. The grievance hearing must be held before a hearing officer. The hearing officer is a person other than the person (or a subordinate of that person) who made or approved the decision;

  2. The grievance hearing must be scheduled within thirty (30) days (including weekends and federal holidays) of receipt of the request by written notice setting forth the date, time and meeting location for the hearing;

  3. Before the hearing, the opportunity to examine and make copies (unless an impossibility) of any evidence, documents, records, and program rules relevant to the hearing; 

  4. The right to present written or oral objections;

  5. The right to be represented by an advocate of their choice (which may be an attorney) and to have such person make statements on the grieving party's behalf; 

  6. The right to reasonable accommodations for persons with disabilities to participate in the hearing; and

  7. The right to a written decision within five (5) business days (excluding weekends and federal holidays). Such a written decision must be mailed to the grieving party, if the mailing address is known. Otherwise, the program must make its best effort to deliver the written notice to the participant and document such effort in the participant’s file.

  8. If the participant fails to appear at a scheduled review meeting, the provider may make a determination that the grieving party has waived his/her right to a hearing unless he/she can demonstrate serious extenuating circumstances justifying his/her absence and the re-scheduling the hearing. Written notice must be provided of scheduled changes.

Stay of Action Upon Grievance Filing

If a grievance was timely filed, terminations or denials shall be delayed until the grievance process is completed except for automatic terminations for violent or criminal behavior or other behavior posing immediate risk to the safety of staff.


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Full Name *
Phone Number *
Email Address *
What program or service were you participating in when the issue occurred?
 *
Required
When did the issue occur?
MM
/
DD
/
YYYY
Please, briefly describe the issue or concern you experienced.  *
Is the issue related to any of the following?  *
Have you already reported this issue to a staff member? If yea, who? *
If yes, how was the issue addressed? 
In what way would you prefer/like this issue to resolved?
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