• Staffing Complaint Form (Word |PDF)
    The 2017 Staffing Law includes a process for staff nurses to raise staffing-related complaints and for staffing committees to respond to complaints. Our recommended complaint form will help track complaints and data coming to the nurse staffing committee.
  • Assessing and Evaluating Complaints (Word PDF)
    Tool to help nurse staffing committees assess and evaluate complaints, including a decision tree outlining the process.
  • Complaint Tracking Tool (Excel)
    Excel form to help the nurse staffing committee track complaints, the resolution and the time frame by which complaints were received and resolved.
  • DOH Complaint Form (Word)
    The Department of Health has requested that staffing complaints are sent to hsqacomplaintintake@doh.wa.gov at this time.