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Customer Complaints Form

  1. City Seal
  2.  

    Norfolk Department of Human Services 

    Customer Complaint Form

  3. Directions

    NDHS is committed to excellent customer service and will make every effort to resolve your concern in a professional and timely manner. If you have raised your concern with the worker and supervisor informally and are still not satisfied with the response, a formal written complaint may be filed. Someone will contact you to discuss your concerns as soon as possible, but no later than 1 business day. If you need assistance filling out this form, please contact the Customer Service Liaison at 757-664-3380. Thank you.

  4. Customer Information
  5. Program Area
  6.  *
  7. Location
  8. Where does the employee work?
  9. Describe Concern
  10. Who completed this form?
  11. Desired Resolution
  12. Leave This Blank:

  13. This field is not part of the form submission.