Formal Complaint Form | Children's Advocacy Centers of North Dakota

A complaint is any perceived misconduct by a staff member or Board member that is a violation of CACND policy. Such examples may include:

Financial fraud
Workplace discrimination
Conflicts of interest
Unethical practices
Programmatic ineffectiveness

If you wish to remain anonymous, you may leave the name, title, email and phone number fields blank. Please note that remaining anonymous will limit our ability to follow-up with you regarding the outcome of your complaint.

Your Name

Title

Email

Phone

Who is this complaint against? Who is this complaint against?

If you submit a complaint regarding a staff member, this form will be directed to a board member. If the complaint concerns a board member, it will be sent to a staff member. If your complaint involves both a staff member and a board member, the form will be sent to both parties.

Date and Time of Incident

Location of Incident

Please describe the incident in detail. Include the names of any additional persons involved.

If there are others who have witnessed the incident, please provide their names and contact information.

Is this the first time you have raised this concern about this person?

Yes

No

Proposed solution

Upload any supporting documentation.

Maximum file size: 52.43MB