Persons Served-Online Grievance Form

For your convenience, grievances can be filled out online using the Grievance Form.
    1. Please complete form.  
    2. Make a copy for your records. You can print this webpage, BEFORE you Submit. 
    3. If you give your email address, you will be emailed a copy of this online form. 
    4. Press Submit when completed.  

Your Grievance Form will be emailed to the CODI Human Rights Committee Chair, 
Karen Pringle

Karen Pringle can be reached by phone 

at (609) 965-6871 

or by email,



If for any reason you are unable to complete this form online, you may print a Grievance Form from this website or you can obtain a hard copy from your group home or support worker.