Laserfiche WebLink
<br /> <br /> <br /> <br /> GRIEVANCE FORM <br /> <br />We are committed to providing excellent customer service and want to hear from you if you have a <br />complaint. Please rest assured that we respect your privacy. Only information relevant to the <br />complaint may be released to the responding party without your consent. Please provide us with <br />details about your complaint below: <br /> <br />Please tell us your complaint. Please use the back of this page if you need more room. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />What date this happen? <br />Is there anything else you would like us to know to help us resolve your complaint? <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Your Name: _____________________________________ Today’s Date:________________________ <br />Address: ________________________________________ Phone Number: _____________________ <br /> ________________________________________ <br />Please mail or deliver this completed form to: Executive Director, Lisa Malul, in charge of Reviewing <br />Complaints, Rebuilding Together Oakland | East Bay, 520 3rd Street, Suite 109, Oakland, CA, 94607. <br />We will review your complaint and send you a letter with the results of our review within 30 days of <br />receiving your complaint. <br />If you are not satisfied with how we have resolved your complaint, you have the right to appeal to <br />the City of San Leandro Community Development Department, Senior Housing Specialist, Maryann <br />Sargent, 835 East 14th Street, San Leandro, CA 94577; (510) 577-6005. <br /> <br />DocuSign Envelope ID: 0386A9D5-353F-4427-9DE0-B5C42FCCB67A