GRIEVANCE FORM

Please compete the sections below which apply to your concerns.
Describe the type of help you requested from ADAP.
ADAP told me it would not provide me services. I disagree with ADAP’s decision.
ADAP closed my case or limited the services I would receive. I disagree with ADAP’s decision.
I am unhappy with the services that ADAP provided me.
I believe ADAP has treated me unfairly or has not carried out its legal obligations.
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