Submit a Concern or Complaint

CCSS is committed to providing respectful, responsive, and high-quality services. We welcome feedback from persons supported, families, personnel, and community members. If you have a concern or would like to submit a complaint, please use the form below. Your feedback helps us identify areas for improvement and supports our ongoing commitment to quality service delivery. All submissions are reviewed and addressed in accordance with agency policies and procedures.

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Would you like to submit this anonymously? *

• Yes – I would like to remain anonymous
• No – I am comfortable sharing my name and contact information

If you choose to remain anonymous, CCSS may not be able to contact you for additional information or to follow up regarding the outcome of your concern or complaint.

Which of the following best describes your relationship with CCSS? *

• Person Supported
• Family Member / Representative
• Community Member
• Employee
• Home Share Provider
• CLBC Employee
• Community Partner / Service Provider
• Other (please specify)

Other

What is your concern or complaint related to? *

• Service Delivery
• Employment or Personnel Matter
• A Staff Member or Service Provider
• Agency Policies or Procedures
• The Agency Website
• Other (please specify)

or with concern

Other

Please describe your concern or complaint. *

What outcome would you like to see regarding your concern or complaint? *

Name (optional)

Email Address (optional)

Submit