GRIEVANCE
PROCEDURE
If
a consumer meets any action, occurrence or attitude, either expressed or
implied, by a staff person that the consumer perceives as unfair or inequitable,
he/she is expected to discuss it with the staff person involved.
If
that does not resolve the issue, the consumer may appeal in writing to the Executive
Director, Tri-State Resource & Advocacy Corporation, Inc., 5708 Uptain Road,
Suite 350, Chattanooga, Tennessee 37411-5507.
The Executive Director will meet with the consumer and respond to the
appeal within seven (7) working days.
Consumers
may engage, at their own expense, a lawyer or other agent to represent them
during the appeals process. Contacts
to aid consumers are available in you State through:
Tennessee
Protection and Advocacy, Inc., P.O. Box 121257, Nashville Tennessee 37312
1-800-342-1660,
The Client Assistant Program (CAP) for Tennessee.
Georgia
Division of Rehabilitation, 2 Peachtree Street, 35th Floor, Atlanta,
Georgia 30303-3142, 1-800-822-9727, The Client Assistant Program (CAP) for
Georgia.
Alabama
Division of Rehabilitation, P.O. Box 11586, Montgomery, Alabama 36111-0586,
1-334-281-2276 In-state or 1-800-228-3231 Out of state or 1-800-441-7607
TTY/Voice, the Client Assistance Program (CAP) for Alabama.
My signature certifies that the above Grievance Procedure
was explained to me and that I a received a written copy of the procedure.
It also certifies that The
Client Assistance/PAIR Program was explained to me and I have received a brochure about
the Program in my State.
________________________________
_____________________
Consumer’s Signature
Date
_________________________________
____________________
Witness/Staff Signature
Date
Rev.4/00