Complaint form

Appeals, complaints, and feedback

If your attempts to resolve an issue informally have failed, you can submit a complaint or suggestion by using this form.

You will get a confirmation when we’ve received your complaint/suggestion, and then you’ll be contacted by the appropriate administrator.

Name * Required
First Last
Email * Required
If you do not have a PCC email account, please submit a hard copy of this form.
PCC ID number * Required
Phone
Address
Street Address City State Zip code
Do you wish to be contacted about this complaint? * Required
- Yes
- No
How do you prefer to be contacted?
- Email
- Phone
- Postal letter
What is your complaint or suggestion? * Required
When and where did this happen?
Include date and time if applicable.
How have you attempted to resolve your concern?
What outcome or resolution are you seeking? * Required
Please attach any relevant documents
Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf.