Client Complaint Form
Name
*
First Name
Last Name
Address
*
Street Address
Unit or Apartment
City
State
Zip Code
Phone Number
*
Please enter a valid phone number.
Please describe your complaint.
*
How do you think your problem could have been better handled?
Please provide the names of the Legal Aid Service employees that you talked to about this complaint and the date that you talked to them.
Have you been given a copy of the Legal Aid Service Grievance Policy?
*
Yes
No
Signature
*
Clear
Submit
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