THE SALVATION ARMY GRIEVANCE FORM

LEWIS COUNTY, WA CLIENTS

Dear Friend:

These procedures were developed to provide guideline for the systematic receipt, documentation, evaluation, resolution and response to client grievances.

A grievance is defined as:

1. a wrong considered as grounds for complaint, or something believedto cause distress.

2. a complaint or resentment, as against an unjust or unfair act: (to have a grievance against someone)

*Facebook or online negative reviews that intentionally hurt the image of the Army due to false context or includes false information, will be viewed as inappropriate and may result in termination of our services with client or service provider. This is especially if no attempt to resolve these grievances are made appropriately from the client.

II. Procedures

a. Client or service provider expresses dissatisfication in writing or online via centralia.salvationarmy.org

b. The Social Services Director will attempt to resolve the situation with the client or service provider.

Please fill out the following:

Grievance Date: * +

Client First Name: *

Client Last Name: *

Primary Contact Number *

Email Address:

Nature of Complaint: *

Parties Involved *

Staff

Volunteer

Other

II. Procedures (continued)

c. If this is does not resolve the grievance, then the client or service provider may notify the Commanding Officer/Executive Director directly who will document the complaint in the Grievance Log. The Grievance Log will include the following information:

Client ID#

Nature of Complaint

Identification of those involved

Date of complaint received and by whom

Summary of follow-up activities

Date grievance referred to Commanding Officer, if necessary

Date of resolution

d. The Commanding Officer/Executive Director will be responsibile for collecting relevant information about the grievance, for taking action to resolve the grievance and for documenting all progress.

e. The Commanding Officer/Executive Director will attempt to resolve the complaint between the parties involved. If no satisfaction results, then disenrollment or termination of a contract might be appropriate.

f. Thirty days after expressing grievance, clients or service providers will receive in wiring all grievance facts and decisions.

g. This procedure will be provided to each client to be signed and attached to all client files.

If this procedure is not clear, or you have any questions, please call The Social Services Director at (360) 736-4339

I have read the Grievance Policy and consent to Case Management Services from The Salvation Army Lewis County Social Services Program. *

Consent

Refused

Clients Initial: *

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