To complete the form online:

Submit a form online by clicking the blue button

and the form will open in Acrobat. Simply fill out

the form of your choice. Save the form to your
hard drive. To email the form click the burgandy

button at the conclusion of the form. That's it!

 

 

To download the form:

Please click the link Form Download,
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

2800 Euclid Ave. Suite 600

Cleveland, OH 44115