Examples of Grievance Form in a sentence
The parties agree to use the electronic version of the (O.N.A. Grievance Form at Appendix 1 of the Hospital Central Agreement).
The parties agree to use the electronic version of the ONA Grievance Form at Appendix 1 of the Hospital Central Agreement.
If the Member wishes, the MHSA’s Customer Service staff will assist in completing the Grievance Form.
Member complaints or grievances can be made in person, at any Participating Dentist’s office or by obtaining a Grievance Form from CDN by writing, faxing or calling CDN as follows, or by visiting the website at xxx.xxxxxxxxx.xxx: Completed Grievance Forms must be mailed to CDN at the address listed above.
The Subscriber, a designated representative, or a provider on behalf of the Subscriber, may also ini- tiate a grievance by submitting a letter or a com- pleted "Grievance Form".