Programs | Grievance Form for Clients
Please provide your concerns or issues related to your housing situation at Giving Grace.
Full Name
*
First Name
Last Name
Contact Information (Phone or Email)
Housing Program
*
Rapid Re-Housing (RRH)
Permanent Supportive Housing (PSH)
Tenant-Based Rental Assistance (TBRA)
Family 90-Day Shelter
Other
Date of Incident
*
-
Month
-
Day
Year
Date
Grievance Details
Program Services
Staff Conduct
Housing Conditions
Lease / Occupancy Issue
Discrimination / Fair Housing Concern
Privacy / Confidentiality
Other
Describe Your Grievance
*
Requested Resolution
Have you already tried to resolve this issue with staff?
Yes
No
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Client Rights Acknowledgment: By submitting this grievance, you acknowledge: (1) You have the right to file a grievance without fear of retaliation. (2) Your complaint will be handled confidentially to the extent possible. (3) You may request assistance, including language or disability accommodations. (4) You have the right to appeal the decision if you disagree with the outcome.
Please Note: A Giving Grace staff member will contact you within 10 business days of this submission.
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