Best Care Complaint Form
Use this form to submit your complaint. Recipient and/or Caregiver complaints shall be investigated and resolved within 30 days. If a complaint cannot be resolved in 30 days, and explanation shall be given for the delay. Public complaints shall be investigated if Best Care in Best Care's discretion, and referred to the contolling agency as appropriate.
Date of Complaint
-
Month
-
Day
Year
Date
Person Filing Complaint
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Description of Complaint
Submit
Should be Empty: