Sample Complaint Letter: Employment and Independence for People with Disabilities (Formally Vocational Rehabilitation – VR)
Date
Name of the Regional Director
Address of the Regional Director
Dear [Name of the Regional Director]
I am writing to challenge a decision made by NC EIPD that has affected my completive employment and independent living services and supports.
- explain how the EIPD program violated your rights or acted wrongly towards you
- explain what you want to happen as a result of the complaint
I am requesting an [administrative review, mediation, and/or an impartial hearing] (select at least one but as many as you want) in order to resolve my complaint.
- If you have a representative include their name, address and telephone number.
Please respond to my request in an acknowledgment letter within ten (10) business days. If you have any questions about my request, please do not hesitate to contact me at ( ) – .
Sincerely,
Your Name
Your Address
Sample Complaint Letter: Division of Services for the Blind
Date
Name of the Area Supervisor
Address of the Area Supervisor
Dear [Name of the Area Supervisor]
I am writing to challenge a decision made by NCDSB that has affected my VR services.
- explain how the VR program violated your rights or acted wrongly towards you
- explain what you want to happen as a result of the complaint
I am requesting an [administrative review, mediation, and/or an impartial hearing] (select at least one but as many as you want) in order to resolve my complaint.
- If you have a representative include their name, address and telephone number.
Please respond to my request in an acknowledgment letter within ten (10) business days. If you have any questions about my request, please do not hesitate to contact me at ( ) – .
Sincerely,
Your Name
Your Address