Current Active Volunteers:
This form should be completed upon receipt of your case. The top portion will stay with the foster parent(s) and the bottom portion should be kept for your records.

CASA of Lexington

Department for Social Services

Division of Youth Services

 

 

STATEMENT OF GRIEVANCE PROCEDURE

 

If you or the child has a problem with a Court Appointed Special Advocate assigned to your case, you should seek first to resolve the problem with the advocate.  If, after discussing the problem with the advocate, you are still dissatisfied, then you are encouraged to speak with the Program Director, to attempt to work out the problem.  The telephone number is 859/246-4313 and she can be contacted between the hours of 8:30 AM. and 5:00 PM, Monday through Friday.

 

                                      Detach at line and leave top portion with caretaker/child

 


STATEMENT OF GRIEVANCE PROCEDURE


              If you or the child has a problem with a Court Appointed Special Advocate assigned to your case, you should seek first to resolve the problem with the advocate.  If, after discussing the problem with the advocate, you are still dissatisfied, then you are encouraged to speak with the Program Director, to attempt to work out the problem.  The telephone number is 859/246-4313 and she can be contacted between the hours of 8:30 AM. and 5:00 PM, Monday through Friday.

 

 

 

I have received a copy of the above and understand how to direct my comments.

 

 

________________________________________________________

Parent, Guardian or caretaker/Date

 

________________________________________________________

Juvenile/Date

 

Form was explained and provided to above individuals:

 

Volunteer  signature/date ___________________________________________