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English (US)
Filipino
We are here to assist you!
If you are not happy with the services you have received from Yumba Bimbi, we’d like you to let us know as soon as possible so that we can quickly and appropriately respond. Importantly, we like to address concerns or issues before they become a formal complaint so we’d welcome you to call us first so that we can discuss and resolve issues. If you are not satisfied after speaking with one of our Managers or the General Manager, please complete the formal complaint form below.
What Next?
On receipt of your complaint, we commit to responding to you in a timely manner. We will need to contact you about the complaint, so please provide your name and contact details. We will use the information you provide to assess and investigate your complaint. We will usually provide a copy of the complaint to the person or people you are directing your complaint at, and if necessary, others who have relevant information about the nature of the complaint. By completing and submitting this form you consent to Yumba Bimbi Support Services using your information for these purposes.
Please complete the form below for your complaints.
Date of filling the form:
-
Day
-
Month
Year
Date
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
E-mail
example@example.com
I am a:
Person with a Disability
Parent or Family member
Family Member or Friend
Advocate
Appointed Guardian
Other Provider
Staff/Volunteer
Other
If Other, Please identify below
Do you require any help with communication?
Yes
No
Does the particpant know you are making this complaint?
Yes
No
Does the participant consent to the complaint being made?
Yes
No
Tell us what your complaint is about and help us understand your concerns. You could include what happened, where it happened, when it happened and who was involved or the decision made by Yumba Bimbi that you are unhappy about.
What outcome/s do you want?
Supporting information: Please attach copies of any documents that may help us investigate your complaint (for example, letters, references, emails).
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