Recovery Residence Complaint Form

If you have a complaint about a recovery residence, please be sure it is a CCAPP Certified Recovery Residence before making a complaint with CCAPP. For a listing of CCAPP Certified Residences, Click Here. This complaint form may be used to report a suspected violation of the CCAPP and NARR Standards for Recovery Residences. The reported home must be a CCAPP Certified Recovery Residence.

Your complaint will NOT be processed unless all fields in the form are completed. CCAPP does NOT process anonymous complaints.

Your Information

Your Name

First

Last

Your Address

City

State/Province

Zip/Postal

Country

Your Phone

Your Email

Recovery Residence Information

Name of Recovery Residence

Address of Recovery Residence

City

State/Province

Zip/Postal

Country

Incident

Incident Date

What part of the CCAPP/NARR standards that you believe has been violated? (See CCAPP/NARR Standards)

Place where the incident occurred

Describe the incident

Confirm Ture

I CERTIFY THAT ALL INFORMATION WHICH I HAVE GIVEN HEREIN TO BE TRUE CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE

If you are human, leave this field blank.