Complaints

Please enter your full name.
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Please enter your phone number.
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Preferred Contact Options
Select your preferred contact method.
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Your Connection to WHBC
Choose your relation to the organization.
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Are you the person directly affected?
Please select one.
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Optional—Name of any witness.
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Select the date and time of the incident.
mm/dd/yyyy
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Provide details about the incident’s location or context.
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Complaint Category
Select the category of your complaint.
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Please specify who or what the complaint is about.
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Provide a detailed description of the incident.
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Have there been previous related incidents?
Please answer yes or no.
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Provide any relevant details if you answered yes.
List any witnesses to the incident.
Do you have supporting evidence?
Please indicate if you have any evidence to support your complaint.
Provide a summary of the evidence.
What outcome are you seeking?
Select your desired outcome for this complaint.
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Any other comments you wish to add.
Can your identity be disclosed if needed?
Please select your preference.
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Check to confirm your complaint is made in good faith.
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Check to consent to WHBC handling your complaint.
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