Feedback, Complaint & Concern Form

At Region II Services, we want you to feel safe, heard, and respected. Your feedback is important and helps us improve our services and strengthen trust within our community. This form is completely anonymous unless you choose to provide your contact information for follow-up.

Submit

Optional Information:

Reason for Complaint:

Required Information:

1. Has the complain been reported previously?

3. Is this an anonymous complaint?

4. Do. you or the person you are completing this for want to be contacted regarding the outcome?

If yes be sure complete the section above with: Name, Email and Phone Number.

2. If so, to whom was the complaint reported and what was the outcome?

Download and fill out the physical complaint form. Once completed, the complaint form can be
emailed to: kylie.joyce@region2services.org

or mailed to:

Kylie Joyce
Executive Director
POB 732
North Platte, NE 69103

Download PDF

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