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  • Provider Complaint Form

  • The Idaho Council on Domestic Violence and Victim Assistance (ICDVVA) has an established procedure for complaints filed against service providers funded by ICDVVA. Please review the Complaint Policy before filing a complaint. The complaint policy is included in the ICDVVA Grant Administration Policy and Procedures document (pp. 19-25) available on the ICDVVA website.

  • Complainant Information

    Please provide name and contact information for person filing the complaint. Contact information will be kept confidential, and is for use by ICDVVA staff members only.
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  • Subject of Complaint

    Please provide the name of the agency that is the subject of the complaint, including agency contact information, and a brief description of the nature of the complaint.
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