Winter Shelter Complaint Form

211 LA Winter Shelter and Augmented Winter Shelter Complaint Form

This is not an immediate response form. If you need immediate assistance please call 211, (800) 548-6047, or live chat with one of our advisors online at 211la.org

Please feel free to submit anything you feel is noteworthy and needs to be addressed. The information you provide will allow for a better call experience. We appreciate your feedback and will do our best to address your concerns.

First Name

Last Name

Email Address

Provide the phone number used to call 211 LA

Please enter a phone number in the following format: xxx-xxx-xxxx

What day did you call 211 LA?

Approximately what time did you call?

What number did you call to reach 211 LA?

2-1-1

1-800-548-6047

What program were you calling about?

Winter Shelter and Augmented Winter Shelter Program

Family Systems

Other

What is the name of the program you were calling about?

Are you with an Agency (e.g. Service Provider, Counsil District Office, etc.)

If you do not know or are unsure, please select No.

Yes

Please provide the name of the Agency you are with.

Did you call on behalf of someone else?

Yes

Did you speak to a live representative?

Yes

What was the name of the 211 LA Representative you spoke with?

Please provide the names of all representatives you spoke with

What is your issue or concern?

Unable to speak to a live representative

Wait time

Voucher concern

Complaint(s) regarding a live representative

Other

Please share details of why you weren’t able to speak to a live representative.

How long was your approximate wait time before speaking to a live representative?

Did you receive the help you were looking for?

Yes

What do you need help with?

Please provide a phone number (xxx-xxx-xxxx) you can be reached at.

A representative will call you shortly for additional information.

Did you receive a motel voucher?

Yes

Please share any details regarding your voucher concern.

Please share any details about why you did not receive a motel voucher.

Are you in need of shelter?

Yes

Please share any details regarding your situation.

Please provide a phone number (xxx-xxx-xxxx) you can be reached at.

A representative will call you shortly for additional information.

Please share any details regarding your complaint(s) regarding a live representative.

Please provide any details regarding your complaint(s).

Please provide any additional information you would like to share.