While we hope that individuals feel that they can openly communicate any concerns, complaints, or grievances directly to someone in the organization, we understand that doing so may be difficult.

Because it is important to us that everyone be able to share their concerns, please know that you have the option to remain anonymous.

Please keep in mind that our ability to respond quickly and adequately may be affected if the information provided is limited. However, we are committed to responding to all anonymous concerns to the extent possible.

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Name (of person submitting grievance):

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Email address:

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Phone number:

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Name of individual(s) involved:
Please include first and last names of all parties involved if possible. (Required.)

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Contact information for individual(s) involved (if available):
Please include phone numbers and email addresses for individuals involved if you have them. (Required.)

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Name of known witness(es):
Please include first and last names of all parties involved if possible. (Required.)

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Contact information for witness(es) (if available):
Please include phone numbers and email addresses for witnesses if you have them. (Required.)

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Please write a summary of the conduct meriting the grievance, including:
a. The behavior complained of and/or the alleged policy violation
b. Direct quotes when relevant and available; and
c. Any relevant documentation (upload below) (Required.)

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Upload documentation here:

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What is the remedy sought by the person making the complaint? (Required.)

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Have any previous conversations been had with CASA staff or volunteers on this issue? (Required.)

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Is there anything else you would like us to know?

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