Pennsylvania Language Access Complaint Form

State:
Pennsylvania
Control #:
PA-SKU-1704
Format:
PDF
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Description

Language Access Complaint Form

The Pennsylvania Language Access Complaint Form is a document meant to help individuals who speak a language other than English to file a complaint about their lack of access to language services in the Commonwealth of Pennsylvania. This form is meant to allow individuals to submit complaints about the lack of or inadequate provision of language services such as translations, interpretation, or other language assistance that would help them better access public services or programs. The form also allows individuals to report cases of discrimination or mistreatment based on the language they speak. The Pennsylvania Language Access Complaint Form is available in two versions: English and Spanish. The form is free to use and is available online for anyone to download and fill out. The form must be completed in its entirety and submitted to the Pennsylvania Office of Open Records for review. Once submitted, the complaint will be reviewed by the Pennsylvania Office of Open Records and a response will be provided.

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FAQ

Our mission is to assist Pennsylvanians in leading safe, healthy, and productive lives through equitable, trauma-informed, and outcome-focused services while being an accountable steward of commonwealth resources.

The court order, accompanied by the complaint, should be sent by certified mail to the Department of State, return receipt requested. The statutory fee is $70.00 for each defendant to be served. You may reach the bureau by telephone by calling (717) 787-1057. The telephone lines are available from am to pm.

PennsylvaniaLanguage? Official languageNone? Spoken languageEnglish 90.15% Spanish 4.09% German (including Pennsylvania Dutch) 0.87% Chinese 0.47% Italian 0.43%Time zoneUTC? (Eastern)49 more rows

You may file a complaint with the Bureau of Human Services Licensing through the BHSL online complaint form, by calling 1-877-401-8835 or by emailing ra-pwarlcomplaints@pa.gov. The Department takes all complaints seriously.

For Department of Human Services programs such as: Medical Assistance, Cash Assistance, SNAP, LIHEAP, Long Term Living Services ? report changes online through your My COMPASS Account or call the Statewide Customer Service Center toll free number at 1-877-395-8930, in Philadelphia call 215-560-7226.

Valerie A. Arkoosh, MD, MPH, was appointed to lead the Pennsylvania Department of Human Services by Governor Josh Shapiro on January 17, 2023.

To report a Public Health Emergency or AN IMMEDIATELY NOTIFIABLE CONDITION, please call 1-877-PA-HEALTH (1-877-724-3258) (available 24/7)

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NOTE: Complete this form only if you have a formal complaint or concern about language access services. LANGUAGE ACCESS COMPLAINT FORM-English.The Language Access to Court Services Complaint form can be found below. Please complete this section if your complaint concerns access to government services in the language that you speak or write. 1. What language(s) do you speak? The purpose of this form is to record complaints related to language access services. Please return this form and any related. Language Access: Please complete this section if your complaint concerns access to government services in the language that you speak or write. The purpose of this form is to record complaints related to language access services. If your request for interpretation is denied and you wish to file a complaint, the complaint form is available in English, Spanish and Chinese.

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Pennsylvania Language Access Complaint Form