DVA Ambulance, Inc.

Filing a Concern
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DVA Ambulance, Inc. investigates allegations of employee misconduct and alleged violations of policy, procedure, and law.

How Do I File a Concern?
You may file a concern by phone, by mail, or by email. A form is available for download on our web site.

Email concern to Supervision
Phone number: (810) 762-9139 Ext 3
Printed Form (Download)
Online Form

Who Will Investigate My Concern?
If a formal investigation is opened, Management will assign a supervisor and the supervisor will contact you. They will give you his or her name and phone number. You can call this person Monday through Friday between 9 am - 5 pm, if you have questions or concerns.

What Happens After I File a Concern?
The Supervisor will ask you to give a written statement. You may be asked if you know the name of the employee(s) involved. You may also be asked:

To provide your Name, Address, and Phone Number
To describe what happened;
To provide the names of potential witnesses; and
To allow us to photograph any injuries or property damage

How Long Will the Investigation Take?
We try to complete every investigation within thirty days of receiving the concern. If we cannot do so, we will notify you.

How Will I Learn the Results?
When the investigation is complete, we will send a letter to you that explains the results. We also notify the employee involved of the outcome.

If your concern is sustained by factual evidence, DVA Ambulance reserves the right to discipline or not discipline the employee or employees involved.

Report a Concern Form
Our Form is available as an online form or for download in PDF format.

Download form (Not Available at this time)
Online Form. Use the online form to submit your comments directly to DVA Ambulance. Required fields are marks with an (*) asterisk.

Form Updated: 07/17/2011
Form Status: Online

	*Your Full Name
	*Email
	*Phone
	Run #
	*Location
	*Date of Incident
	*Time of Incident
	Name of Employee

	*Summary of Incident and why you are filing a concern: