EmailMe Form - Complaint Report

HISC Person writing this

Date the complaint was made *

MM / DD / YYYY

****APPEARS IN THE LOG!!

HISC Person who took the complaint *

Person who formally made the Complaint ("Complainant") *

Name of Client(s) involved *

Method by which Complainant communicated such complaint *

Nature of Complaint *

If method was written, please take a PDF and upload here

If method was written via email, please copy and paste entire email, including the time/date/to/from stamp *

If not, write N/A

Name of employee(s) involved *

Very important!

Name of others involved *

Time and Date of occurrence of the underlying Complaint: *

Exact location(s) of the Complaint: *

Detailed Description of facts underlying the Complaint/ formal complaint *

THIS WILL BE LONG AND WILL NOT APPEAR IN THE LOG
COPY BELOW AND PASTE ABOVE (THIS WILL BE FINALIZED WHEN THE COMPLAINT HAS BEEN RESOLVED)

1. Facts as per complainant: [detail]

2. Facts investigated by agency include: [list information obtained by people we investigated]

3. Actions taken in pursuit of a resolution: [describe if discussions with complainant took place, make it clear it was deemed satisfactory by the complainant and detail those parties related to the client and complainant who were informed]

4. Resolution of the complaint [review with CMS and Bal for final verbage] by Whatsapp to Bal and CMS in Complaint channel. Copy and paste. RESOLUTION TO COMPLAINT FOR [Name of Client/nature of complaint]: I want to create a resolution to this complaint, this is what I propose, what do you think? [add your proposed solution]

Date of Resolution *

MM / DD / YYYY

Step 1: Look up and see the field called "Date the complaint was made"

Step 2. The date here must be no later than 15 days of the date of the complaint (see above)

Method by which HISC resolution was communicated back to the complainant *

Step 1: Look up and see the field called "Method by which Complainant communicated such complaint"

Step 2. The method here must be identical

Was an appeal requested such that HISC must respond within 30 days of the appeal? *