Customer Feedback & Complaint Form

Customer Feedback & Complaint Form

Your feedback is important to us. By sharing your thoughts, you help us understand what we're doing well and where we can improve. We are dedicated to handling all feedback and complaints promptly, professionally, and with care so we can strengthen your experience and continue improving our services for everyone.

Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
County of Residence
City of Residence
Program(s) related to:
Please select all that apply.
Service(s) related to
Please select appropriate choice.
Feedback or Complaint
Date of Incident

MonthDayYear
Date
Time of Incident

Hour Minutes

AM/PM Option
Workforce Center Location
Feedback or Complaint Details (i.e. how do I check on my Child Care waitlist? When is my next WIOA orientation?)
So that we can respond most effectively, please provide a detailed information, including all relevant details and the people involved.

Feedback or Complaint