Home / IRN Certified RCO Grievance Policy / File a GrievanceFile a Grievance Please enable JavaScript in your browser to complete this form.Name *FirstLastLayoutPhone No. *Email *Relationship to Organization *Organization Name (Certified RCO against whom Grievance is being filed) *Organization Primary Contact *Organization Primary Contact Job TitleLayoutOrganization Phone NumberOrganization Email Address *Organization Website *I claim direct, first-person knowledge related to this grievance Grievant alleges Organization non-compliance with “National Standards of Best Practices for Recovery Community Organizations,” created by Faces and Voices of Recovery listed below or any of the IRN standards for certification. (Please select all that apply) *Non-profit OrganizationLed and Governed by the Recovery CommunityPrimary Focus is Recovery from Substance Use DisordersCommunity Engagement-GrassrootsParticipatory ProcessesPeer Recovery Support ServicesAll Pathways Towards RecoveryDiverse, Equitable, and Inclusive Policies, Practices, and ServicesRecovery/Stigma-Friendly LanguageCode of Ethics and Grievance PoliciesOtherPlease provide a detailed narrative explaining the nature of the grievance below. *Supporting Documentation Click or drag a file to this area to upload. AcknowledgementIn filing this grievance, I understand that it may be necessary for the Indiana Recovery Network (IRN) to disclose information pursuant to this grievance to the subject RCO as well as to external agencies including DMHA and Recovery Works if applicable. For this reason, the IRN can make no warranty that it will protect the source of this information. However, an attempt is made to withhold disclosure of the source to the extent that is reasonably possible. I authorize unrestricted use of the information filed in this grievance by the Indiana Recovery Network to act as it deems prudent and necessary. Please do not include any personal identifying information or protected health information about any individual.I certify that the above information is entirely accurate to the best of my knowledge.Signature * Clear Signature Date: *Submit
