Complaint form

Date

Complaint: (name, etc.)

Subject

Important: You can obtain free advice about submitting this complaint from our complaints officer. The complaints officer can also assist you in formulating the complaint and in investigating the possibilities of arriving at a solution to the complaint. You can contact our complaints officer via: info@geboorte-atelier attn.: Mieke Spruijt.

What are you?

I am a client

I am a relative of a deceased client

I am a representative of a client

I am submitting a complaint about the behavior of an employee of Het Geboorte Atelier Almere towards me, namely:

I am submitting a complaint because Het Geboorte Atelier refuses to consider me as a representative of a client (PLease state here which client it concerns and why you should be regarded as a representative):.

Thank you for describing your complaint. We will carefully investigate your complaint. You will receive a written notification within 6 weeks of receipt of the complaint, in which we substantiate our assessment of the complaint with reasons and which decisions and measures will be implemented. Depending on the complexity of the investigation into your complaint, we can extend the term by a maximum of 4 weeks. We will inform you of this as soon as possible after receipt of your complaint.

How can we contact you?

Signature of the complainant:

Additional notes:

Date

Complaint form

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