If you have had a negative experience with any of the programs or services at Access Alliance and would like to make a complaint, please fill in and submit the form below.

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

    Please retype email address

    Information about your complaint