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Sunshine Coast Association for Community Living
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Topic of Feedback/Complaint * 
Please provide a title for this entry.  Do not include any names.
Date * 
Date feedback submitted
Type of Feedback *Please identify the nature of the feedback
Name (required for complaints) 
Please provide name for all complaints.  If you wish to hear from us, please provide us with a name (and perhaps contact number).  Optional for suggestions and general feedback.
Phone Number 
Email Address (optional) 
Contact email address (optional)
Mailing Address
Submitted by
DescriptionPlease describe the nature of your complaint or suggestion
Recommended ActionHow would you like to see this addressed
OFFICE ONLY: SCACL Action TakenCOMPLETED BY SCACL:  What actions were taken in response to feedback?
OFFICE ONLY: Follow UpIf a complaint, or suggestion with contact information, what follow up was done with complaintant?
OFFICE ONLY: Complaintant Satisfied with Response
OFFICE ONLY: Complaint Handled by 
SCACL Staff Only: who has taken action and followed up on feedback

*  indicates a required field