Recipient Rights Documents

Complaint Forms:

If you think that your rights have been violated, you or someone on your behalf may file a complaint with the Office of Recipient Rights. This may be done by mail, telephone, or in person. Forms on which to report alleged violations are also available at your service agency and OCHN. If you need assistance, please contact Customer Services at 800.341.2003.

Authorization to Disclose Employee Information and Release of Liability Form:

The Authorization to Disclose Employee Information and Release of Liability form enables you to verify whether employees that you have hired or are now considering for hire have any record of rights violations with the ORR.

Disclosure/Release of Liability         

Incident Report

Procedure Reference