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Service Standards Complaint Form

The purpose of this form is to assist you in filing a complaint regarding an alleged violation of service standards with the Crime Victim Assistance Division in connection with one of its subrecipient’s programs or services.

* Indicates a required field
Step 1
Step 2
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Organization/Person(s) discriminated against, if different from above
Is this discrimination complaint about you:
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Agency and department or program complaint against
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