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Customer Complaints Form

  1. City Seal

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    Norfolk Department of Human Services Customer Service 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 within five business days upon receipt. If you need assistance filling out this form, please contact the Customer Service Liaison at 757-664-7749. Thank you.

  4. Customer Information

  5. Program Area

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  7. Location

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  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.