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Contact us today!

"We advocate for your rights"

WELCOME

Ombudsman

Associates

 

Do you need to submit a
report?
File for an investigation? Report
for a RC meeting? Now
you can do it all here by clicking on a link below
and submit. That's it!

 

LTCO's volunteer
report forms

RF-CLASS 2 FORM

Form download

COMPLAINTS INTAKE FORM

Form download

NH-RCF FORM

Form download

INVESTIGATION FORM

Form download

RC-MEETING FORM

Form download

Please click the link, download and complete these forms and either print and mail them to LTCO, or
email the reports to
VolunteerReports@ltco.org

 

If you have questions contact:

 

Victoria Brownfield: LTCO Volunteer Coordinator

Email: vbrownfield@ltco.org

Phone: 216-696-2719 ext 151

 

 

All mailed forms should be addressed to:

Long Term Care Ombudsman

Attn: Volunteer Reports

8111 Rockside Rd Suite 250, Cleveland, OH 44125