DRSD Online Grievance Form

Please read DRSD's Grievance Policy and Procedure before completing the following form.

Types of Grievances:

1. Denial of Service - You requested legally-based advocacy services from DRSD but were told you were not eligible for help, you were denied a requested service from DRSD, or you were receiving help from DRSD that ended or further help was denied for reasons with which you disagree. You can also file a grievance if you believe that you did not have full access to the services of the program. Family members and legal representatives can also file a grievance under this section in the interests of the client with a disability or prospective client with a disability.

2. Customer Service Concerns – You can also file a grievance if you have customer service concerns about the services you received from DRSD.

3. Systemic Grievance - Failure to comply with federal laws that create the Protection and Advocacy System. If you believe that DRSD is not in compliance with the federal laws that create the Protection and Advocacy System. Persons with disabilities, family members and legal representatives can also file a grievance under this section.

4. Sexual Harassment Grievance or Grievance of Discrimination - A grievance based on discrimination of a class protected under the law.

Please note that under federal law, DRSD must keep your information confidential.