Sample Letter #5 - How to Make a Systems Complaint

(Insert date)
Bradley Hutton, MPH
Director, Bureau of Early Intervention
NYS Department of Health
Corning Tower Building, Room 287
Empire State Plaza
Albany, New York 12237

Dear Mr. Hutton:

I would like to file a complaint because I believe that (name and address of person/agency) is/are not performing their work as the law requires. I would like the Department to investigate the following actions: (statement of charges).

I understand that my complaint will be investigated within 60 days and that I may be interviewed and will receive a written response.

The best time to reach me is on (insert days and times).


(Insert Name)
(Street Address)
(City/State/Zip Code)
(Area Code/Phone #)

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