• 951-801-5674
  • 951-275-5000
  • info@codie.org
  • 1737 Atlanta Ave, H3A, Riverside, CA 92507
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Filing a Concern and/or Complaint

Do the Following:

  1. Inform a CODIE employee who can relay your concern to a program supervisor.
  2. Request a meeting with a program supervisor or the CEO in person or on VP.
  3. File a complaint. Click below for a copy of our complaint policy and procedures.

Grievance Form

Full Name(Required)
Type your first and last name
Address

Your Grievance

A grievance is a complaint made by a client or a community member against a service, staff or policy of GLAD. A grievance must be made within 30 days of the incident. If you cannot complete this form, you may request a meeting with a GLAD program manager who will complete the grievance form for you.
Which Agency are you filing grievance?(Required)
Please type what happened
MM slash DD slash YYYY
When did this happen?
Incident Time
:
What time did that happen?
Where did it happen at?
Please type in staff's name if they were involved in this incident
Please type witness(es) names or other people's names
Drop files here or
Max. file size: 128 MB.
    What actions do you want in response to your grievance?(Required)
    MM slash DD slash YYYY
    This field is for validation purposes and should be left unchanged.

    Outreach & Regional Offices

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