Family Law Facilitator Customer Complaint Form

Superior Court of California, County of Humboldt Appendix 8.38 Local Form COMPL-8.2 SUPERIOR COURT OF CALIFORNIA, COUNTY OF HUMBOLDT FAMILY LAW FACILITATOR CUSTOMER COMPLAINT FORM The Family Law Facilitator takes all customer complaints seriously. You are encouraged to notify the Family Law Facilitator of your complaint as early as possible. Every effort will be made to respond to your concerns in a prompt and thorough manner. If your complaint is about the Family Law Facilitator, it will be reviewed by his/her supervisor. Please complete the following items to help us better understand your complaint. Mail or deliver your Completed form to: Family Law Facilitator Humboldt Superior Court 825 Fifth Street Eureka, CA 95501 Your Name: ______ Your Address: _________________________________________________________________________________ Your Daytime Phone Number: Court Case Number, if any: This complaint is about: an individual in the Family Law Facilitator's Office a Family Law Facilitator's Office policy or procedure both ____________ ______ If an individual is the source of your concern, please provide the name below, if known: ______ When did the action about which you are concerned happen? Date: a.m. p.m. What is your complaint? Describe: ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ What other information do you think is important for us to know?___________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Date: Adopted for Optional Use FL Complaint Form Form COMPL-8.2, Eff. 07/01/13 Signature: ______________ 151 American LegalNet, Inc. www.FormsWorkFlow.com