Oklahoma Foster Youth Matters

Please Be Advised

All information submitted on this form will be collected by the Oklahoma Commission on Children and Youth (OCCY) and forwarded to the Office of Client Advocacy (OCA) for processing and investigation.

The Office of Client Advocacy (OCA) maintains confidentiality of the reporting party.

Who is filling out this form?

Relationship to Child

If "OTHER", please specify

Has the matter been resolved?

Yes

First name * Last name *

Street address 1 * Street address 2 (optional)

City *

State *

ZIP *

Daytime Phone Evening Phone (At least one phone number is required)

Email (If provided, a confirmation email will be sent to the address provided) Secondary Email

Child Information

First name * Last name *

Street address 1 Street address 2 (optional)

City

State

ZIP

Name of facility (If applicable)

Daytime Phone Evening Phone (At least one phone number is required)

Email (If available)

Who is this complaint about?

Tell us as much as you can about your complaint; like who was there, when it happened, what happened, and how it made you feel. *

What would make this better for you? *

Who have you talked to about this? *

Who's Involved

List the name(s) of all Department of Human Services employees involved, if any, in the problem listed above.

DHS Employee Name(s)

If an email address was supplied, you will receive a confirmation of your complaint for your records. You may also print a copy of the confirmation upon submission. Upon submission, OCA Intake will contact you within two (2) business days.

Please Be Advised

Who is filling out this form?

Child Information

Complaint Information

What is your complaint about?

Who's Involved

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