Complaints Resolution Form

Do you wish for your complaint to be anonymous?*

YesNo

**Please note, if you choose for your complaint to be anonymous, we cannot provide you with any feedback about how the complaint was handled. It may also mean, depending on the nature of the complaint, that investigation/resolution/recommendations may be limited as a full investigation may not be possible.**

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Email*

example@example.com

What is your relationship to La Leche League of Ireland?*

LeaderLeader ApplicantMember of the public who has used our serviceMember of the public who has not used our service

Complaint Details

This complaint is about:

A personA GroupA specific situationSomething else

Complaint against whom?*

Enter full name of the La Leche League of Ireland volunteer Leader

Complaint against which Group? *

Details of the Complaint*

Include the specifics (who/when/where/how) and/or the general nature of the problem. Also, please include steps already taken to resolve or address the complaint.

Outcome*

What would you like to see as an outcome from this complaint?

I am aware of the Complaints Resolution Process of La Leche League of Irealnd and agree to abide by its procedures in relation to this complaint. I confirm that, to the best of my knowledge, this is a fair and accurate representation of the situation, and that I have included all relevant details. The information submitted to La Leche League of Ireland will be used to assess the complaint according to our guidelines.*

I agree

Upload supporting documentation here: (optional)