Home
Complaints

Complaints

Please note: You can use the form below if you have had a negative experience with any of the programs or services at Access Alliance and would like to make a complaint. If your complaint is related to a recent experience using our Language Services (i.e. interpretation, translation), please click here.

Submitting a complaint to Access Alliance

Please fill in all the details in this form. Mandatory fields are indicated by an asterisk (*) and must be completed in order to submit the complaint.

We will let you know when we have received your complaint.

Notice of Collection of Personal Information
The collection of personal information on this form is necessary in order for Access Alliance to be able to process your complaint. The information will be used only for the purpose of investigating this complaint.

Your Contact Information

Your First and Last Name: *

Email address: *

Confirm your email address: *Please retype email address

Phone Number: *

If we need to call you, what day of the week and time is best to reach you?

Are you a:

[group group1]

If you selected Other above, please describe here:

[/group]

Is an Interpreter required, if yes what language?

[group group2]

Interpreter language:

[/group]

Information about your complaint

Date submitting this complaint: *

Date when Incident took place: *

Location of Incident (e.g. On-site at one of our locations, over the phone): *

What’s the main reason for the complaint? *

Details of Complaint – what happened? *
(Briefly describe the complaint and persons involved)

How can we make things right for you? *