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Aging & Disability Resource Center of Eau Claire County-Complaint or Grievance

Submitting this form requests an Internal Review with the ADRC Director.
Requests for External Reviews can be submitted to: Wisconsin Dept of Health Services, Office for Resource Center, ADRC Specialist Grievances, 1 W. Wilson St, PO Box 2659, Madison, WI 53701-2659
1.Information:
2.Have you asked someone outside of the Aging & Disability Resource Center to help you with filing and resolving the complaint or grievance?
3.If Yes, Please indicate who assisted you?
4.Please describe your complaint or grievance about ADRC services:
5.Requested remedy (what are your ideas on how you would like this issue resolved?):