Ombudsman Complaint Form

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The Ombudsman is available to help Yolo County residents who are having difficulty obtaining needed services within the Yolo County Health and Human Services Agency (HHSA). The Ombudsman is a liaison between HHSA and the public, customer and other governmental or private agencies. Please note your services will not NOT be adversely affected in any way by filing a complaint.

To submit a formal complaint through the Yolo County Health and Human Services Ombudsman office you have three options:

1) Download a PDF, print and mail it to Ombudsman Office 814 North Street, Woodland, CA 95695

2) Download a fillable PDF and save a digital copy and email it to HHSA.Ombudsman@yolocounty.org

3) Fill out the web form below and it will be automatically submitted to HHSA.Ombudsman@yolocounty.org 

Please correct the field(s) marked in red below:

1
Contact Information 
Contact Information
2
If your complaint is regarding someone other than yourself, please complete the following information
If your complaint is regarding someone other than yourself, please complete the following information
3
Describe the reason (s) for your complaint. Please be specific by including names, dates and times, whenever possible.
4
Describe the steps taken to try to resolve the problem before filling a complaint.
5
What would you like to see happen to resolve this complaint?
  1. To receive a copy of your submission, please fill out your email address below and submit.
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