function FrameBuilder(formId,appendTo,initialHeight,iframeCode,title){this.formId=formId;this.initialHeight=initialHeight;this.iframeCode=iframeCode;this.frame=null;this.timeInterval=200;this.appendTo=appendTo||false;this.formSubmitted=0;this.init=function(){this.createFrame();this.addFrameContent(this.iframeCode);};this.createFrame=function(){var tmp_is_ie=!!window.ActiveXObject;var htmlCode="<"+"iframe title=\""+title.replace(/[\\"']/g,'\\$&').replace(/&amp;/g,'&')+"\" onload=\"window.parent.scrollTo(0,0)\" src=\"\" allowtransparency=\"true\" name=\""+this.formId+"\" id=\""+this.formId+"\" style=\"width: 1px; min-width: 100%; display: block; overflow: hidden; height:"+this.initialHeight+"px; border: none;\" scrolling=\"no\"></if"+"rame>";if(this.appendTo===false){document.write(htmlCode);}else{var tmp=document.createElement('div');tmp.innerHTML=htmlCode;var a=this.appendTo;document.getElementById(a).appendChild(tmp.firstChild);}
this.frame=document.getElementById(this.formId);if(tmp_is_ie===true){try{var iframe=this.frame;var doc=iframe.contentDocument?iframe.contentDocument:(iframe.contentWindow.document||iframe.document);doc.open();doc.write("");}
catch(err){this.frame.src="javascript:void((function(){document.open();document.domain=\'"+this.getBaseDomain()+"\';document.close();})())";}}
this.addEvent(this.frame,'load',this.bindMethod(this.setTimer,this));var self=this;if(window.chrome!==undefined){this.frame.onload=function(){try{var doc=this.contentWindow.document;var _jotform=this.contentWindow.JotForm;if(doc!==undefined){var form=doc.getElementById(""+self.formId);self.addEvent(form,"submit",function(){if(_jotform.validateAll()){self.formSubmitted=1;}});}}catch(e){}}}};this.addEvent=function(obj,type,fn){if(obj.attachEvent){obj["e"+type+fn]=fn;obj[type+fn]=function(){obj["e"+type+fn](window.event);};obj.attachEvent("on"+type,obj[type+fn]);}
else{obj.addEventListener(type,fn,false);}};this.addFrameContent=function(string){string=string.replace(new RegExp('src\\=\\"[^"]*captcha.php\"><\/scr'+'ipt>','gim'),'src="http://api.recaptcha.net/js/recaptcha_ajax.js"></scr'+'ipt><'+'div id="recaptcha_div"><'+'/div>'+'<'+'style>#recaptcha_logo{ display:none;} #recaptcha_tagline{display:none;} #recaptcha_table{border:none !important;} .recaptchatable .recaptcha_image_cell, #recaptcha_table{ background-color:transparent !important; } <'+'/style>'+'<'+'script defer="defer"> window.onload = function(){ Recaptcha.create("6Ld9UAgAAAAAAMon8zjt30tEZiGQZ4IIuWXLt1ky", "recaptcha_div", {theme: "clean",tabindex: 0,callback: function (){'+'if (document.getElementById("uword")) { document.getElementById("uword").parentNode.removeChild(document.getElementById("uword")); } if (window["validate"] !== undefined) { if (document.getElementById("recaptcha_response_field")){ document.getElementById("recaptcha_response_field").onblur = function(){ validate(document.getElementById("recaptcha_response_field"), "Required"); } } } if (document.getElementById("recaptcha_response_field")){ document.getElementsByName("recaptcha_challenge_field")[0].setAttribute("name", "anum"); } if (document.getElementById("recaptcha_response_field")){ document.getElementsByName("recaptcha_response_field")[0].setAttribute("name", "qCap"); }}})'+' }<'+'/script>');string=string.replace(/(type="text\/javascript">)\s+(validate\(\"[^"]*"\);)/,'$1 jTime = setInterval(function(){if("validate" in window){$2clearTimeout(jTime);}}, 1000);');if(string.match('#sublabel_litemode')){string=string.replace('class="form-all"','class="form-all" style="margin-top:0;"');}
var iframe=this.frame;var doc=iframe.contentDocument?iframe.contentDocument:(iframe.contentWindow.document||iframe.document);doc.open();doc.write(string);setTimeout(function(){doc.close();try{if('JotFormFrameLoaded'in window){JotFormFrameLoaded();}}catch(e){console.log("error on frame loading",e);}},200);};this.setTimer=function(){var self=this;this.interval=setTimeout(function(){self.changeHeight();},this.timeInterval);};this.getBaseDomain=function(){var thn=window.location.hostname;var cc=0;var buff="";for(var i=0;i<thn.length;i++){var chr=thn.charAt(i);if(chr=="."){cc++;}
if(cc==0){buff+=chr;}}
if(cc==2){thn=thn.replace(buff+".","");}
return thn;}
this.changeHeight=function(){var actualHeight=this.getBodyHeight();var currentHeight=this.getViewPortHeight();if(actualHeight===undefined){this.frame.style.height=this.frameHeight;if(!this.frame.style.minHeight){this.frame.style.minHeight="300px";}}else if(Math.abs(actualHeight-currentHeight)>18){this.frame.style.height=(actualHeight)+"px";}
this.setTimer();};this.bindMethod=function(method,scope){return function(){method.apply(scope,arguments);};};this.frameHeight=0;this.getBodyHeight=function(){if(this.formSubmitted===1){return;}
var height;var scrollHeight;var offsetHeight;try{if(this.frame.contentWindow.document.height){height=this.frame.contentWindow.document.height;if(this.frame.contentWindow.document.body.scrollHeight){height=scrollHeight=this.frame.contentWindow.document.body.scrollHeight;}
if(this.frame.contentWindow.document.body.offsetHeight){height=offsetHeight=this.frame.contentWindow.document.body.offsetHeight;}}else if(this.frame.contentWindow.document.body){var isChrome=/Chrome/.test(navigator.userAgent)&&/Google Inc/.test(navigator.vendor);if(this.frame.contentWindow.document.body.scrollHeight){height=scrollHeight=this.frame.contentWindow.document.body.scrollHeight;}
if(isChrome){height=scrollHeight=this.frame.contentWindow.document.height;}
if(this.frame.contentWindow.document.body.offsetHeight){height=offsetHeight=this.frame.contentWindow.document.body.offsetHeight;}
if(scrollHeight&&offsetHeight){height=Math.max(scrollHeight,offsetHeight);}}}catch(e){}
this.frameHeight=height;return height;};this.getViewPortHeight=function(){if(this.formSubmitted===1){return;}
var height=0;try{if(this.frame.contentWindow.window.innerHeight)
{height=this.frame.contentWindow.window.innerHeight-18;}
else if((this.frame.contentWindow.document.documentElement)&&(this.frame.contentWindow.document.documentElement.clientHeight))
{height=this.frame.contentWindow.document.documentElement.clientHeight;}
else if((this.frame.contentWindow.document.body)&&(this.frame.contentWindow.document.body.clientHeight))
{height=this.frame.contentWindow.document.body.clientHeight;}}catch(e){}
return height;};this.init();}
FrameBuilder.get=[];var i63114774122348=new FrameBuilder("63114774122348",false,"","<!DOCTYPE HTML PUBLIC \"-\/\/W3C\/\/DTD HTML 4.01\/\/EN\" \"http:\/\/www.w3.org\/TR\/html4\/strict.dtd\">\n<html class=\"supernova\"><head>\n<meta http-equiv=\"Content-Type\" content=\"text\/html; charset=utf-8\" \/>\n<link rel=\"alternate\" type=\"application\/json+oembed\" href=\"https:\/\/www.jotform.com\/oembed\/?format=json&amp;url=http%3A%2F%2Fwww.jotform.com%2Fform%2F63114774122348\" title=\"oEmbed Form\"><link rel=\"alternate\" type=\"text\/xml+oembed\" href=\"https:\/\/www.jotform.com\/oembed\/?format=xml&amp;url=http%3A%2F%2Fwww.jotform.com%2Fform%2F63114774122348\" title=\"oEmbed Form\">\n<meta property=\"og:title\" content=\"OCO Complaint Form\" >\n<meta property=\"og:url\" content=\"http:\/\/www.jotformeu.com\/form\/63114774122348\" >\n<meta property=\"og:description\" content=\"Please click the link to complete this form.\">\n<link rel=\"shortcut icon\" href=\"https:\/\/cdn.jotfor.ms\/favicon.ico\">\n<meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=0\" \/>\n<meta name=\"HandheldFriendly\" content=\"true\" \/>\n<title>OCO Complaint Form<\/title>\n<link href=\"https:\/\/cdn.jotfor.ms\/static\/formCss.css?3.3.2283\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/css\/styles\/nova.css?3.3.2283\" \/>\n<link type=\"text\/css\" media=\"print\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/css\/printForm.css?3.3.2283\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/themes\/CSS\/566a91c2977cdfcd478b4567.css?\"\/>\n<style type=\"text\/css\">\n    .form-label-left{\n        width:150px;\n    }\n    .form-line{\n        padding-top:12px;\n        padding-bottom:12px;\n    }\n    .form-label-right{\n        width:150px;\n    }\n    body, html{\n        margin:0;\n        padding:0;\n        background:#fff;\n    }\n\n    .form-all{\n        margin:0px auto;\n        padding-top:20px;\n        width:800px;\n        color:#555 !important;\n        font-family:'Lato';\n        font-size:16px;\n    }\n    .form-radio-item label, .form-checkbox-item label, .form-grading-label, .form-header{\n        color: #555;\n    }\n\n<\/style>\n\n<style type=\"text\/css\" id=\"form-designer-style\">\n    \/* Injected CSS Code *\/\n@import \"https:\/\/fonts.googleapis.com\/css?family=Lato:light,lightitalic,normal,italic,bold,bolditalic\";\n.form-all {\n  font-family: \"Lato\", sans-serif;\n}\n.form-all {\n  width: 800px;\n  width: 100%;\n  max-width: 800px;\n}\n.form-label-left,\n.form-label-right {\n  width: 150px;\n}\n.form-label {\n  white-space: normal;\n}\n.form-label.form-label-auto {\n  display: inline-block;\n  float: left;\n  text-align: left;\n  width: 150px;\n}\n.form-label-left {\n  display: inline-block;\n  white-space: normal;\n  float: left;\n  text-align: left;\n}\n.form-label-right {\n  display: inline-block;\n  white-space: normal;\n  float: left;\n  text-align: right;\n}\n.form-label-top {\n  white-space: normal;\n  display: block;\n  float: none;\n  text-align: left;\n}\n.form-all {\n  font-size: 16px;\n}\n.form-label {\n  font-weight: bold;\n}\n.form-checkbox-item label,\n.form-radio-item label {\n  font-weight: normal;\n}\n.supernova {\n  background-color: #ffffff;\n  background-color: #f5f5f5;\n}\n.supernova body {\n  background-color: transparent;\n}\n\/*\n@width30: (unit(@formWidth, px) + 60px);\n@width60: (unit(@formWidth, px)+ 120px);\n@width90: (unit(@formWidth, px)+ 180px);\n*\/\n\/* | *\/\n@media screen and (min-width: 480px) {\n  .supernova .form-all {\n    border: 1px solid #dcdcdc;\n    -webkit-box-shadow: 0 3px 9px rgba(0, 0, 0, 0.1);\n    -moz-box-shadow: 0 3px 9px rgba(0, 0, 0, 0.1);\n    box-shadow: 0 3px 9px rgba(0, 0, 0, 0.1);\n  }\n}\n\/* | *\/\n\/* | *\/\n@media screen and (max-width: 480px) {\n  .jotform-form {\n    padding: 10px 0;\n  }\n}\n\/* | *\/\n\/* | *\/\n@media screen and (min-width: 480px) and (max-width: 768px) {\n  .jotform-form {\n    padding: 30px 0;\n  }\n}\n\/* | *\/\n\/* | *\/\n@media screen and (min-width: 480px) and (max-width: 799px) {\n  .jotform-form {\n    padding: 30px 0;\n  }\n}\n\/* | *\/\n\/* | *\/\n@media screen and (min-width: 768px) {\n  .jotform-form {\n    padding: 60px 0;\n  }\n}\n\/* | *\/\n\/* | *\/\n@media screen and (max-width: 799px) {\n  .jotform-form {\n    padding: 0;\n  }\n}\n\/* | *\/\n.supernova .form-all,\n.form-all {\n  background-color: #ffffff;\n  border: 1px solid transparent;\n}\n.form-header-group {\n  border-color: #e6e6e6;\n}\n.form-matrix-table tr {\n  border-color: #e6e6e6;\n}\n.form-matrix-table tr:nth-child(2n) {\n  background-color: #f2f2f2;\n}\n.form-all {\n  color: #555555;\n}\n.form-header-group .form-header {\n  color: #555555;\n}\n.form-header-group .form-subHeader {\n  color: #6f6f6f;\n}\n.form-sub-label {\n  color: #6f6f6f;\n}\n.form-label-top,\n.form-label-left,\n.form-label-right,\n.form-html {\n  color: #555555;\n}\n.form-checkbox-item label,\n.form-radio-item label {\n  color: #6f6f6f;\n}\n.form-line.form-line-active {\n  -webkit-transition-property: all;\n  -moz-transition-property: all;\n  -ms-transition-property: all;\n  -o-transition-property: all;\n  transition-property: all;\n  -webkit-transition-duration: 0.3s;\n  -moz-transition-duration: 0.3s;\n  -ms-transition-duration: 0.3s;\n  -o-transition-duration: 0.3s;\n  transition-duration: 0.3s;\n  -webkit-transition-timing-function: ease;\n  -moz-transition-timing-function: ease;\n  -ms-transition-timing-function: ease;\n  -o-transition-timing-function: ease;\n  transition-timing-function: ease;\n  background-color: #ffffe0;\n}\n\/* \u00f6mer *\/\n.form-radio-item,\n.form-checkbox-item {\n  padding-bottom: 0px !important;\n}\n.form-radio-item:last-child,\n.form-checkbox-item:last-child {\n  padding-bottom: 0;\n}\n\/* \u00f6mer *\/\n.form-single-column .form-checkbox-item,\n.form-single-column .form-radio-item {\n  width: 100%;\n}\n.supernova {\n  height: 100%;\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n  background-repeat: repeat;\n}\n.supernova {\n  background-image: none;\n}\n#stage {\n  background-image: none;\n}\n\/* | *\/\n.form-all {\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n  background-repeat: repeat;\n}\n.form-header-group {\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n}\n.form-line {\n  margin-top: 12px;\n  margin-bottom: 12px;\n}\n.form-line {\n  padding: 0px 36px;\n}\n.form-all .qq-upload-button,\n.form-all .form-submit-button,\n.form-all .form-submit-reset,\n.form-all .form-submit-print {\n  font-size: 1em;\n  padding: 9px 15px;\n  font-family: \"Lato\", sans-serif;\n  font-size: 16px;\n  font-weight: normal;\n}\n.form-all .form-pagebreak-back,\n.form-all .form-pagebreak-next {\n  font-size: 1em;\n  padding: 9px 15px;\n  font-family: \"Lato\", sans-serif;\n  font-size: 16px;\n  font-weight: normal;\n}\n\/*\n& when ( @buttonFontType = google ) {\n\t@import (css) \"@{buttonFontLink}\";\n}\n*\/\nh2.form-header {\n  line-height: 1.618em;\n  font-size: 1.714em;\n}\nh2 ~ .form-subHeader {\n  line-height: 1.5em;\n  font-size: 1.071em;\n}\n.form-header-group {\n  text-align: left;\n}\n\/*.form-dropdown,\n.form-radio-item,\n.form-checkbox-item,\n.form-radio-other-input,\n.form-checkbox-other-input,*\/\n.form-captcha input,\n.form-spinner input,\n.form-error-message {\n  padding: 4px 3px 2px 3px;\n}\n.form-header-group {\n  font-family: \"Lato\", sans-serif;\n}\n.form-section {\n  padding: 0px 0px 0px 0px;\n}\n.form-header-group {\n  margin: 12px 36px 12px 36px;\n}\n.form-header-group {\n  padding: 24px 0px 24px 0px;\n}\n.form-textbox,\n.form-textarea {\n  padding: 4px 3px 2px 3px;\n}\n.form-textbox,\n.form-textarea,\n.form-radio-other-input,\n.form-checkbox-other-input,\n.form-captcha input,\n.form-spinner input {\n  background-color: #ffffff;\n}\n[data-type=\"control_dropdown\"] .form-input,\n[data-type=\"control_dropdown\"] .form-input-wide {\n  width: 150px;\n}\n.form-label {\n  font-family: \"Lato\", sans-serif;\n}\nli[data-type=\"control_image\"] div {\n  text-align: left;\n}\nli[data-type=\"control_image\"] img {\n  border: none;\n  border-width: 0px !important;\n  border-style: solid !important;\n  border-color: false !important;\n}\n.form-line-column {\n  width: auto;\n}\n.form-line-error {\n  overflow: hidden;\n  -webkit-transition-property: none;\n  -moz-transition-property: none;\n  -ms-transition-property: none;\n  -o-transition-property: none;\n  transition-property: none;\n  -webkit-transition-duration: 0.3s;\n  -moz-transition-duration: 0.3s;\n  -ms-transition-duration: 0.3s;\n  -o-transition-duration: 0.3s;\n  transition-duration: 0.3s;\n  -webkit-transition-timing-function: ease;\n  -moz-transition-timing-function: ease;\n  -ms-transition-timing-function: ease;\n  -o-transition-timing-function: ease;\n  transition-timing-function: ease;\n  background-color: #fff4f4;\n}\n.form-line-error .form-error-message {\n  background-color: #ff3200;\n  clear: both;\n  float: none;\n}\n.form-line-error .form-error-message .form-error-arrow {\n  border-bottom-color: #ff3200;\n}\n.form-line-error input:not(#coupon-input),\n.form-line-error textarea,\n.form-line-error .form-validation-error {\n  border: 1px solid #ff3200;\n  -webkit-box-shadow: 0 0 3px #ff3200;\n  -moz-box-shadow: 0 0 3px #ff3200;\n  box-shadow: 0 0 3px #ff3200;\n}\n.ie-8 .form-all {\n  margin-top: auto;\n  margin-top: initial;\n}\n.ie-8 .form-all:before {\n  display: none;\n}\n\/* | *\/\n@media screen and (max-width: 480px), screen and (max-device-width: 768px) and (orientation: portrait), screen and (max-device-width: 415px) and (orientation: landscape) {\n  .jotform-form {\n    padding: 0;\n  }\n  .form-all {\n    border: 0;\n    width: 100% !important;\n    max-width: initial;\n  }\n  .form-sub-label-container {\n    width: 100%;\n    margin: 0;\n  }\n  .form-input {\n    width: 100%;\n  }\n  .form-label {\n    width: 100%!important;\n  }\n  .form-line {\n    padding: 2% 5%;\n    -moz-box-sizing: border-box;\n    -webkit-box-sizing: border-box;\n    box-sizing: border-box;\n  }\n  input[type=text],\n  input[type=email],\n  input[type=tel],\n  textarea {\n    width: 100%;\n    -moz-box-sizing: border-box;\n    -webkit-box-sizing: border-box;\n    box-sizing: border-box;\n    max-width: initial !important;\n  }\n  .form-input,\n  .form-input-wide,\n  .form-textarea,\n  .form-textbox,\n  .form-dropdown {\n    max-width: initial !important;\n  }\n  div.form-header-group {\n    padding: 24px 0px !important;\n    margin: 0 12px 2% !important;\n    margin-left: 5% !important;\n    margin-right: 5% !important;\n    -moz-box-sizing: border-box;\n    -webkit-box-sizing: border-box;\n    box-sizing: border-box;\n  }\n  [data-type=\"control_button\"] {\n    margin-bottom: 0 !important;\n  }\n  .form-buttons-wrapper {\n    margin: 0!important;\n  }\n  .form-buttons-wrapper button {\n    width: 100%;\n  }\n  table {\n    width: 100%!important;\n    max-width: initial !important;\n  }\n  table td + td {\n    padding-left: 3%;\n  }\n  .form-checkbox-item input,\n  .form-radio-item input {\n    width: auto;\n  }\n  .form-collapse-table {\n    margin: 0 5%;\n  }\n}\n\/* | *\/\n\n\/*__INSPECT_SEPERATOR__*\/\na {\n    color : green;\n}\n\n.form-header-group .form-header {\n    color : #109034;\n    font-size : 22px;\n}\n\n.form-html {\n    padding : 0px;\n    margin : 0px;\n}\n\n#text_2, #text_5, #text_7, #text_33, #text_35, #text_38, #text_40, #text_42, #text_46, #text_47, #text_48 {\n    background : rgba(245, 166, 35, 0.3);\n    color : #954807;\n    font-size : 14px;\n    padding : 10px;\n}\n\n#id_3, #id_4, #id_6, #id_32, #id_34, 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bodies<\/li>\\n<li>Local Authorities<\/li>\\n<li>Schools (recognised by the Education Act 1998)<\/li>\\n<li>Voluntary hospitals<\/li>\\n<li>Other organisations providing services on behalf of the Irish State<\/li>\\n<\/ul><p>The Ombudsman for Children Act 2002, and its amendments, sets out the services that we can handle complaints about. Lots of services come under our remit.<\/p>\\n<p>If you are not sure whether we can examine the service you are complaining about, please check our website <a href=\\\"http:\/\/www.oco.ie\\\" target=\\\"_blank\\\" rel=\\\"nofollow\\\">www.oco.ie<\/a>. 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(For example, name the school \/ hospital \/ local authority)\",\"type\":\"control_textarea\"},{\"name\":\"doubleclickTo33\",\"qid\":\"33\",\"text\":\"<p>OCO cannot examine the actions of some public organisations, which are listed in the Ombudsman (Amendment) Act 2012. (see link below)<\/p>\\n<p>If an organisation is providing a service for a public body or Government Department which is within our remit, then we may be able to investigate your complaint. If you are unsure about whether the organisation is within our remit, you can submit a complaint and our Team will assess whether it is a complaint for us.<\/p>\\n<p>Here is the link to the organisation which are outside our remit:\u00a0<a href=\\\"http:\/\/www.irishstatutebook.ie\/eli\/2012\/act\/38\/schedule\/enacted\/en\/html#sched-part2\\\" target=\\\"_blank\\\" rel=\\\"nofollow\\\">www.irishstatutebook.ie\/eli\/2012\/act\/38\/schedule\/enacted\/en\/html#sched-part2<\/a><\/p>\",\"type\":\"control_text\"},{\"name\":\"tellUs\",\"qid\":\"34\",\"text\":\"Tell us what the service has or has not done and why you think it is wrong:\",\"type\":\"control_textarea\"},{\"name\":\"doubleclickTo35\",\"qid\":\"35\",\"text\":\"<p>The OCO can investigate certain types of actions. These are called \u2018administrative actions\u2019.<\/p>\\n<p>Some examples of administrative actions which we may investigate are:<\/p>\\n<ul><li>delays in providing services,<\/li>\\n<li>refusals to award benefits or services,<\/li>\\n<li>failure to provide a promised service,<\/li>\\n<li>failure to follow approved procedures or policies,<\/li>\\n<li>failure to reply to correspondence,<\/li>\\n<li>communication difficulties,<\/li>\\n<li>giving misleading advice,<\/li>\\n<li>bad complaints procedures.<\/li>\\n<\/ul><p>This means that there are many types of actions that you may wish to complain about that the OCO cannot investigate. Common examples of actions we cannot always investigate are:<\/p>\\n<ul><li>proceedings and decisions made in court,<\/li>\\n<li>the conduct of individuals,<\/li>\\n<li>the professional or clinical judgment of professionals,<\/li>\\n<li>the results of tests or examinations,<\/li>\\n<li>decisions about budgets,<\/li>\\n<li>actions relating to the employment of an individual.<\/li>\\n<\/ul><p>In your complaint form we would ask that you provide us as much detail about the administrative actions that you would like to complain about and why you feel that those actions were unfair, wrong, careless or negligent.<\/p>\",\"type\":\"control_text\"},{\"name\":\"howHas\",\"qid\":\"36\",\"text\":\"How has the action or inaction of the service affected the child \/ children involved?\",\"type\":\"control_textarea\"},{\"name\":\"tellUs37\",\"qid\":\"37\",\"text\":\"Tell us how the service dealt with your complaint.  Please provide copies of any letters or emails you sent to the service and the response(s).\",\"type\":\"control_textarea\"},{\"name\":\"doubleclickTo38\",\"qid\":\"38\",\"text\":\"<p>It is important that you first try to resolve your complaint with the service you are unhappy with.<\/p>\\n<p>Before submitting a complaint to the OCO, you should make your complaint directly to the service in writing and follow the complaint process. If you are not sure about the steps involved in making a complaint, you can ask the service for a copy of the Complaints Policy \/ Procedure.<\/p>\\n<p>If you are still unhappy after receiving the response and after you have followed all of the steps, it may then be the right time to submit a complaint to the OCO.<\/p>\",\"type\":\"control_text\"},{\"name\":\"whatResults\",\"qid\":\"39\",\"text\":\"What results would you like us to achieve for the child \/ children?\",\"type\":\"control_textarea\"},{\"name\":\"doubleclickTo40\",\"qid\":\"40\",\"text\":\"<p>In order to assess our potential involvement in your complaint, we will first look at whether local redress is still available, or if a reasonable level of redress has already been offered at the local level. If this is the case, then further redress through our involvement may be deemed unnecessary.\u00a0<\/p>\\n<p>Then we need to determine that our involvement has a reasonable chance of achieving redress for the child at the centre of the complaint. This requires that a solution can be reached through recommendations to a public body to address the administrative practices at issue in your complaint.<\/p>\\n<p>In order to achieve redress, we would write to the public body to put the issues in your complaint to them, and to give them an opportunity to respond. Many complaints are resolved at this stage.<\/p>\\n<p>However, this Office may decide that further investigation is required. An investigation may include meetings with the people involved as well as looking at all of the correspondence. We will keep you informed of all of the steps we take and any decisions that we make.<\/p>\\n<p>Certain types of redress are not achievable through our intervention. These include the disciplining of an individual professional due to alleged misconduct; complaints relating to incidents which occurred more than two years previously; and any complaints where effective redress has already been achieved for the child, or is otherwise unachievable at this time.<\/p>\\n<p>When we ask a public body to fix a problem for a child or to provide resolution, any such recommendations are not binding or enforceable. However, in most cases we find that the public body will take note of what we recommend and take action accordingly.<\/p>\",\"type\":\"control_text\"},{\"name\":\"haveYou\",\"qid\":\"41\",\"text\":\"Have you contacted any other service about your complaint (for example, a professional regulator or a tribunal) or have you taken any legal action?\",\"type\":\"control_textarea\"},{\"name\":\"doubleclickTo42\",\"qid\":\"42\",\"text\":\"<p>We need to know this information as sometimes people make complaints to a number of organisations, as well as bringing it to the OCO. It may be the case that we would not look into a complaint if another organisation is also examining the issue. Sometimes other organisations are in a better position to look into a situation and so it is important that you tell us where you have brought your complaint. We may decide that we are not the right organisation for your complaint at this time.<\/p>\\n<p>Also, if you have brought your complaint to court, we will not be able to able to investigate it.<\/p>\",\"type\":\"control_text\"},{\"name\":\"ifYou\",\"qid\":\"43\",\"text\":\"If you have any more information you would like to tell us about, please let us know here:\",\"type\":\"control_textarea\"},{\"name\":\"doubleclickTo44\",\"qid\":\"44\",\"text\":\"<p>Please send copies of any letters, emails or other documents that you think will help us to understand your concerns.<\/p>\\n<p><strong>What happens next?<\/strong><\/p>\\n<p>We will contact you to let you know if we can look at your complaint. We may also contact the service(s) involved by phone, email or in writing. Please let us know if you do not want us to send personal details by email.<\/p>\\n<p>If you have any questions, ring the Complaints and Investigations Team at FREEFONE 1800 20 20 40 or email us at <a href=\\\"mailto:ococomplaint@oco.ie\\\">ococomplaint@oco.ie<\/a>.<\/p>\",\"type\":\"control_text\"},{\"name\":\"submit\",\"qid\":\"45\",\"text\":\"Submit\",\"type\":\"control_button\"},{\"name\":\"doubleclickTo46\",\"qid\":\"46\",\"text\":\"<p>As you have selected NO, it may be the case that you have come to our Office in error.<\/p>\\n<p>We cannot examine complaints about<\/p>\\n<ul><li>Services outside the Republic of Ireland<\/li>\\n<li>Private services in the Republic of Ireland<\/li>\\n<\/ul>\",\"type\":\"control_text\"},{\"name\":\"doubleclickTo47\",\"qid\":\"47\",\"text\":\"<p class=\\\"p1\\\"><span class=\\\"s1\\\">At the end of this form, you have the option to attach a copy of the complaint and background documentation that you may have submitted to the service concerned. You can also send this information to us by post or attached to an email to <a href=\\\"mailto:ococomplaint@oco.ie\\\"><span class=\\\"s2\\\">ococomplaint@oco.ie<\/span><\/a><\/span><\/p>\",\"type\":\"control_text\"},{\"name\":\"doubleclickTo48\",\"qid\":\"48\",\"text\":\"<p class=\\\"p1\\\"><span class=\\\"s1\\\">At the end of this form, you have the option to attach relevant background documentation. It is important that you send us a copy of any final decision or response you have received when you made your complaint to the service concerned. You can also send this information to us by post or attached to an email to <a href=\\\"mailto:ococomplaint@oco.ie\\\"><span class=\\\"s2\\\">ococomplaint@oco.ie<\/span><\/a><\/span><\/p>\",\"type\":\"control_text\"},{\"name\":\"attachFiles\",\"qid\":\"49\",\"text\":\"Attach Up to 5 Files\",\"type\":\"control_fileupload\"},null,{\"name\":\"refNumber\",\"qid\":\"51\",\"text\":\"Ref Number\",\"type\":\"control_autoincrement\"},{\"name\":\"childchildrensInformation\",\"qid\":\"52\",\"text\":\"Child 1\",\"type\":\"control_fullname\"},{\"name\":\"childDate\",\"qid\":\"53\",\"text\":\"Child 1 Date of Birth\",\"type\":\"control_datetime\"},{\"name\":\"ifThere\",\"qid\":\"54\",\"text\":\"If there are more children enter their details here\",\"type\":\"control_textarea\"},{\"name\":\"childchildrensInformation55\",\"qid\":\"55\",\"text\":\"Child\/Children&#039;s Information\",\"type\":\"control_head\"},{\"name\":\"name56\",\"qid\":\"56\",\"text\":\"Child 2\",\"type\":\"control_fullname\"},{\"name\":\"date\",\"qid\":\"57\",\"text\":\"Child 2 Date of Birth\",\"type\":\"control_datetime\"},{\"name\":\"name58\",\"qid\":\"58\",\"text\":\"Child 3\",\"type\":\"control_fullname\"},{\"name\":\"date59\",\"qid\":\"59\",\"text\":\"Child 3 Date of Birth\",\"type\":\"control_datetime\"},{\"name\":\"name60\",\"qid\":\"60\",\"text\":\"Child 4\",\"type\":\"control_fullname\"},{\"name\":\"date61\",\"qid\":\"61\",\"text\":\"Child 4 Date of Birth\",\"type\":\"control_datetime\"}]);\n   setTimeout(function() {\nJotForm.paymentExtrasOnTheFly([null,{\"name\":\"heading\",\"qid\":\"1\",\"text\":\"Stage 1: Can you make a complaint to the Ombudsman for Children\u2019s Office?\",\"type\":\"control_head\"},{\"name\":\"doubleclickTo\",\"qid\":\"2\",\"text\":\"<p>We can examine complaints about:<\/p>\\n<ul><li>Government Departments<\/li>\\n<li>Certain public bodies<\/li>\\n<li>Local Authorities<\/li>\\n<li>Schools (recognised by the Education Act 1998)<\/li>\\n<li>Voluntary hospitals<\/li>\\n<li>Other organisations providing services on behalf of the Irish State<\/li>\\n<\/ul><p>The Ombudsman for Children Act 2002, and its amendments, sets out the services that we can handle complaints about. Lots of services come under our remit.<\/p>\\n<p>If you are not sure whether we can examine the service you are complaining about, please check our website <a href=\\\"http:\/\/www.oco.ie\\\" target=\\\"_blank\\\" rel=\\\"nofollow\\\">www.oco.ie<\/a>. Click on the \u2018Complaints\u2019 section and you will find a list of Frequently Asked Questions (FAQs).<\/p>\",\"type\":\"control_text\"},{\"name\":\"aIs\",\"qid\":\"3\",\"text\":\"A.\\tIs your complaint about a service in Ireland that the OCO can look at?\",\"type\":\"control_radio\"},{\"name\":\"bHave\",\"qid\":\"4\",\"text\":\"B.\\tHave you made a complaint in writing to the service?\",\"type\":\"control_radio\"},{\"name\":\"doubleclickTo5\",\"qid\":\"5\",\"text\":\"<p>You should complain directly to the service involved and follow its complaint process before submitting a complaint to the OCO.\u00a0<\/p>\\n<p>If you are not sure about the steps involved in making a formal written complaint, you can ask for a copy of the Complaints Policy \/ Procedure from the service.<\/p>\",\"type\":\"control_text\"},{\"name\":\"cHave\",\"qid\":\"6\",\"text\":\"C.\\tHave you received a final decision \/ reply to your complaint?\",\"type\":\"control_radio\"},{\"name\":\"doubleclickTo7\",\"qid\":\"7\",\"text\":\"<p>It is important that you wait for a final decision \/ reply to your complaint. If you are not happy with the response, it may be the right time to submit a complaint to us.<\/p>\\n<p>You can also decide to make a complaint to us if the service has not given you its decision when the service said it would.<\/p>\",\"type\":\"control_text\"},{\"name\":\"pageBreak\",\"qid\":\"8\",\"text\":\"Page Break\",\"type\":\"control_pagebreak\"},{\"name\":\"heading9\",\"qid\":\"9\",\"text\":\"Stage 2: Personal Information\",\"type\":\"control_head\"},{\"name\":\"name\",\"qid\":\"10\",\"text\":\"Name\",\"type\":\"control_fullname\"},{\"name\":\"address\",\"qid\":\"11\",\"text\":\"Address\",\"type\":\"control_address\"},{\"name\":\"phoneNumber\",\"qid\":\"12\",\"text\":\"Phone Number\",\"type\":\"control_phone\"},{\"name\":\"email\",\"qid\":\"13\",\"text\":\"E-mail\",\"type\":\"control_email\"},{\"name\":\"areYou\",\"qid\":\"14\",\"text\":\"Are you a young person making a complaint about something that affects you? \",\"type\":\"control_radio\"},null,{\"name\":\"ifYes\",\"qid\":\"16\",\"text\":\"If yes, please give your date of birth:\",\"type\":\"control_datetime\"},{\"name\":\"whatIs\",\"qid\":\"17\",\"text\":\"What is the best way for us to contact you?\",\"type\":\"control_radio\"},{\"name\":\"howDid\",\"qid\":\"18\",\"text\":\"How did you hear about us?\",\"type\":\"control_textarea\"},{\"name\":\"doubleclickTo19\",\"qid\":\"19\",\"text\":\"<p><strong>Your information<\/strong><\/p>\",\"type\":\"control_text\"},null,null,null,null,null,null,null,{\"name\":\"childsAddress\",\"qid\":\"27\",\"text\":\"Child&#039;s Address\",\"type\":\"control_address\"},{\"name\":\"whatIs28\",\"qid\":\"28\",\"text\":\"What is your relationship to the child \/ children (for example:  parent, guardian, teacher, social worker, aunt, uncle, brother, sister, etc):\",\"type\":\"control_textarea\"},{\"name\":\"ifPossible\",\"qid\":\"29\",\"text\":\"If possible, please tell us the child \/ children\u2019s views on the issues raised in the complaint:\",\"type\":\"control_textarea\"},{\"name\":\"pageBreak30\",\"qid\":\"30\",\"text\":\"Page Break\",\"type\":\"control_pagebreak\"},{\"name\":\"heading31\",\"qid\":\"31\",\"text\":\"Stage 3: Details about your complaint\",\"type\":\"control_head\"},{\"name\":\"whatService\",\"qid\":\"32\",\"text\":\"What service in Ireland is your complaint about? (For example, name the school \/ hospital \/ local authority)\",\"type\":\"control_textarea\"},{\"name\":\"doubleclickTo33\",\"qid\":\"33\",\"text\":\"<p>OCO cannot examine the actions of some public organisations, which are listed in the Ombudsman (Amendment) Act 2012. (see link below)<\/p>\\n<p>If an organisation is providing a service for a public body or Government Department which is within our remit, then we may be able to investigate your complaint. If you are unsure about whether the organisation is within our remit, you can submit a complaint and our Team will assess whether it is a complaint for us.<\/p>\\n<p>Here is the link to the organisation which are outside our remit:\u00a0<a href=\\\"http:\/\/www.irishstatutebook.ie\/eli\/2012\/act\/38\/schedule\/enacted\/en\/html#sched-part2\\\" target=\\\"_blank\\\" rel=\\\"nofollow\\\">www.irishstatutebook.ie\/eli\/2012\/act\/38\/schedule\/enacted\/en\/html#sched-part2<\/a><\/p>\",\"type\":\"control_text\"},{\"name\":\"tellUs\",\"qid\":\"34\",\"text\":\"Tell us what the service has or has not done and why you think it is wrong:\",\"type\":\"control_textarea\"},{\"name\":\"doubleclickTo35\",\"qid\":\"35\",\"text\":\"<p>The OCO can investigate certain types of actions. These are called \u2018administrative actions\u2019.<\/p>\\n<p>Some examples of administrative actions which we may investigate are:<\/p>\\n<ul><li>delays in providing services,<\/li>\\n<li>refusals to award benefits or services,<\/li>\\n<li>failure to provide a promised service,<\/li>\\n<li>failure to follow approved procedures or policies,<\/li>\\n<li>failure to reply to correspondence,<\/li>\\n<li>communication difficulties,<\/li>\\n<li>giving misleading advice,<\/li>\\n<li>bad complaints procedures.<\/li>\\n<\/ul><p>This means that there are many types of actions that you may wish to complain about that the OCO cannot investigate. Common examples of actions we cannot always investigate are:<\/p>\\n<ul><li>proceedings and decisions made in court,<\/li>\\n<li>the conduct of individuals,<\/li>\\n<li>the professional or clinical judgment of professionals,<\/li>\\n<li>the results of tests or examinations,<\/li>\\n<li>decisions about budgets,<\/li>\\n<li>actions relating to the employment of an individual.<\/li>\\n<\/ul><p>In your complaint form we would ask that you provide us as much detail about the administrative actions that you would like to complain about and why you feel that those actions were unfair, wrong, careless or negligent.<\/p>\",\"type\":\"control_text\"},{\"name\":\"howHas\",\"qid\":\"36\",\"text\":\"How has the action or inaction of the service affected the child \/ children involved?\",\"type\":\"control_textarea\"},{\"name\":\"tellUs37\",\"qid\":\"37\",\"text\":\"Tell us how the service dealt with your complaint.  Please provide copies of any letters or emails you sent to the service and the response(s).\",\"type\":\"control_textarea\"},{\"name\":\"doubleclickTo38\",\"qid\":\"38\",\"text\":\"<p>It is important that you first try to resolve your complaint with the service you are unhappy with.<\/p>\\n<p>Before submitting a complaint to the OCO, you should make your complaint directly to the service in writing and follow the complaint process. If you are not sure about the steps involved in making a complaint, you can ask the service for a copy of the Complaints Policy \/ Procedure.<\/p>\\n<p>If you are still unhappy after receiving the response and after you have followed all of the steps, it may then be the right time to submit a complaint to the OCO.<\/p>\",\"type\":\"control_text\"},{\"name\":\"whatResults\",\"qid\":\"39\",\"text\":\"What results would you like us to achieve for the child \/ children?\",\"type\":\"control_textarea\"},{\"name\":\"doubleclickTo40\",\"qid\":\"40\",\"text\":\"<p>In order to assess our potential involvement in your complaint, we will first look at whether local redress is still available, or if a reasonable level of redress has already been offered at the local level. If this is the case, then further redress through our involvement may be deemed unnecessary.\u00a0<\/p>\\n<p>Then we need to determine that our involvement has a reasonable chance of achieving redress for the child at the centre of the complaint. This requires that a solution can be reached through recommendations to a public body to address the administrative practices at issue in your complaint.<\/p>\\n<p>In order to achieve redress, we would write to the public body to put the issues in your complaint to them, and to give them an opportunity to respond. Many complaints are resolved at this stage.<\/p>\\n<p>However, this Office may decide that further investigation is required. An investigation may include meetings with the people involved as well as looking at all of the correspondence. We will keep you informed of all of the steps we take and any decisions that we make.<\/p>\\n<p>Certain types of redress are not achievable through our intervention. These include the disciplining of an individual professional due to alleged misconduct; complaints relating to incidents which occurred more than two years previously; and any complaints where effective redress has already been achieved for the child, or is otherwise unachievable at this time.<\/p>\\n<p>When we ask a public body to fix a problem for a child or to provide resolution, any such recommendations are not binding or enforceable. However, in most cases we find that the public body will take note of what we recommend and take action accordingly.<\/p>\",\"type\":\"control_text\"},{\"name\":\"haveYou\",\"qid\":\"41\",\"text\":\"Have you contacted any other service about your complaint (for example, a professional regulator or a tribunal) or have you taken any legal action?\",\"type\":\"control_textarea\"},{\"name\":\"doubleclickTo42\",\"qid\":\"42\",\"text\":\"<p>We need to know this information as sometimes people make complaints to a number of organisations, as well as bringing it to the OCO. It may be the case that we would not look into a complaint if another organisation is also examining the issue. Sometimes other organisations are in a better position to look into a situation and so it is important that you tell us where you have brought your complaint. We may decide that we are not the right organisation for your complaint at this time.<\/p>\\n<p>Also, if you have brought your complaint to court, we will not be able to able to investigate it.<\/p>\",\"type\":\"control_text\"},{\"name\":\"ifYou\",\"qid\":\"43\",\"text\":\"If you have any more information you would like to tell us about, please let us know here:\",\"type\":\"control_textarea\"},{\"name\":\"doubleclickTo44\",\"qid\":\"44\",\"text\":\"<p>Please send copies of any letters, emails or other documents that you think will help us to understand your concerns.<\/p>\\n<p><strong>What happens next?<\/strong><\/p>\\n<p>We will contact you to let you know if we can look at your complaint. We may also contact the service(s) involved by phone, email or in writing. Please let us know if you do not want us to send personal details by email.<\/p>\\n<p>If you have any questions, ring the Complaints and Investigations Team at FREEFONE 1800 20 20 40 or email us at <a href=\\\"mailto:ococomplaint@oco.ie\\\">ococomplaint@oco.ie<\/a>.<\/p>\",\"type\":\"control_text\"},{\"name\":\"submit\",\"qid\":\"45\",\"text\":\"Submit\",\"type\":\"control_button\"},{\"name\":\"doubleclickTo46\",\"qid\":\"46\",\"text\":\"<p>As you have selected NO, it may be the case that you have come to our Office in error.<\/p>\\n<p>We cannot examine complaints about<\/p>\\n<ul><li>Services outside the Republic of Ireland<\/li>\\n<li>Private services in the Republic of Ireland<\/li>\\n<\/ul>\",\"type\":\"control_text\"},{\"name\":\"doubleclickTo47\",\"qid\":\"47\",\"text\":\"<p class=\\\"p1\\\"><span class=\\\"s1\\\">At the end of this form, you have the option to attach a copy of the complaint and background documentation that you may have submitted to the service concerned. You can also send this information to us by post or attached to an email to <a href=\\\"mailto:ococomplaint@oco.ie\\\"><span class=\\\"s2\\\">ococomplaint@oco.ie<\/span><\/a><\/span><\/p>\",\"type\":\"control_text\"},{\"name\":\"doubleclickTo48\",\"qid\":\"48\",\"text\":\"<p class=\\\"p1\\\"><span class=\\\"s1\\\">At the end of this form, you have the option to attach relevant background documentation. It is important that you send us a copy of any final decision or response you have received when you made your complaint to the service concerned. You can also send this information to us by post or attached to an email to <a href=\\\"mailto:ococomplaint@oco.ie\\\"><span class=\\\"s2\\\">ococomplaint@oco.ie<\/span><\/a><\/span><\/p>\",\"type\":\"control_text\"},{\"name\":\"attachFiles\",\"qid\":\"49\",\"text\":\"Attach Up to 5 Files\",\"type\":\"control_fileupload\"},null,{\"name\":\"refNumber\",\"qid\":\"51\",\"text\":\"Ref Number\",\"type\":\"control_autoincrement\"},{\"name\":\"childchildrensInformation\",\"qid\":\"52\",\"text\":\"Child 1\",\"type\":\"control_fullname\"},{\"name\":\"childDate\",\"qid\":\"53\",\"text\":\"Child 1 Date of Birth\",\"type\":\"control_datetime\"},{\"name\":\"ifThere\",\"qid\":\"54\",\"text\":\"If there are more children enter their details here\",\"type\":\"control_textarea\"},{\"name\":\"childchildrensInformation55\",\"qid\":\"55\",\"text\":\"Child\/Children&#039;s Information\",\"type\":\"control_head\"},{\"name\":\"name56\",\"qid\":\"56\",\"text\":\"Child 2\",\"type\":\"control_fullname\"},{\"name\":\"date\",\"qid\":\"57\",\"text\":\"Child 2 Date of Birth\",\"type\":\"control_datetime\"},{\"name\":\"name58\",\"qid\":\"58\",\"text\":\"Child 3\",\"type\":\"control_fullname\"},{\"name\":\"date59\",\"qid\":\"59\",\"text\":\"Child 3 Date of Birth\",\"type\":\"control_datetime\"},{\"name\":\"name60\",\"qid\":\"60\",\"text\":\"Child 4\",\"type\":\"control_fullname\"},{\"name\":\"date61\",\"qid\":\"61\",\"text\":\"Child 4 Date of Birth\",\"type\":\"control_datetime\"}]);}, 20); \n<\/script>\n<\/head>\n<body>\n<form class=\"jotform-form\" action=\"https:\/\/submit.jotformeu.com\/submit\/63114774122348\/\" method=\"post\" enctype=\"multipart\/form-data\" name=\"form_63114774122348\" id=\"63114774122348\" accept-charset=\"utf-8\">\n  <input type=\"hidden\" name=\"formID\" value=\"63114774122348\" \/>\n  <div class=\"form-all form-encrypted\">\n    <ul class=\"form-section page-section\">\n      <li id=\"cid_1\" class=\"form-input-wide\" data-type=\"control_head\">\n        <div class=\"form-header-group \">\n          <div class=\"header-text httal htvam\">\n            <h2 id=\"header_1\" class=\"form-header\" data-component=\"header\">\n              Stage 1: Can you make a complaint to the Ombudsman for Children\u2019s Office?\n            <\/h2>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_radio\" id=\"id_3\">\n        <label class=\"form-label form-label-top\" id=\"label_3\" for=\"input_3\"> A. Is your complaint about a service in Ireland that the OCO can look at? <\/label>\n        <div id=\"cid_3\" class=\"form-input-wide\">\n          <div class=\"form-multiple-column\" data-columncount=\"2\" data-component=\"radio\">\n            <span class=\"form-radio-item\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"radio\" class=\"form-radio\" id=\"input_3_0\" name=\"q3_aIs\" value=\"Yes\" \/>\n              <label id=\"label_input_3_0\" for=\"input_3_0\"> Yes <\/label>\n            <\/span>\n            <span class=\"form-radio-item\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"radio\" class=\"form-radio\" id=\"input_3_1\" name=\"q3_aIs\" value=\"No\" \/>\n              <label id=\"label_input_3_1\" for=\"input_3_1\"> No <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_text\" id=\"id_2\">\n        <div id=\"cid_2\" class=\"form-input-wide\">\n          <div id=\"text_2\" class=\"form-html\" data-component=\"text\">\n            <p>We can examine complaints about:<\/p>\n            <ul>\n              <li>\n                Government Departments\n              <\/li>\n              <li>\n                Certain public bodies\n              <\/li>\n              <li>\n                Local Authorities\n              <\/li>\n              <li>\n                Schools (recognised by the Education Act 1998)\n              <\/li>\n              <li>\n                Voluntary hospitals\n              <\/li>\n              <li>\n                Other organisations providing services on behalf of the Irish State\n              <\/li>\n            <\/ul>\n            <p>The Ombudsman for Children Act 2002, and its amendments, sets out the services that we can handle complaints about. Lots of services come under our remit.<\/p>\n            <p>If you are not sure whether we can examine the service you are complaining about, please check our website <a href=\"http:\/\/www.oco.ie\" target=\"_blank\">www.oco.ie<\/a>. Click on the \u2018Complaints\u2019 section and you will find a list of Frequently Asked Questions (FAQs).<\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_text\" id=\"id_46\">\n        <div id=\"cid_46\" class=\"form-input-wide\">\n          <div id=\"text_46\" class=\"form-html\" data-component=\"text\">\n            <p>As you have selected NO, it may be the case that you have come to our Office in error.<\/p>\n            <p>We cannot examine complaints about<\/p>\n            <ul>\n              <li>\n                Services outside the Republic of Ireland\n              <\/li>\n              <li>\n                Private services in the Republic of Ireland\n              <\/li>\n            <\/ul>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_radio\" id=\"id_4\">\n        <label class=\"form-label form-label-top\" id=\"label_4\" for=\"input_4\"> B. Have you made a complaint in writing to the service? <\/label>\n        <div id=\"cid_4\" class=\"form-input-wide\">\n          <div class=\"form-multiple-column\" data-columncount=\"2\" data-component=\"radio\">\n            <span class=\"form-radio-item\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"radio\" class=\"form-radio\" id=\"input_4_0\" name=\"q4_bHave\" value=\"Yes\" \/>\n              <label id=\"label_input_4_0\" for=\"input_4_0\"> Yes <\/label>\n            <\/span>\n            <span class=\"form-radio-item\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"radio\" class=\"form-radio\" id=\"input_4_1\" name=\"q4_bHave\" value=\"No\" \/>\n              <label id=\"label_input_4_1\" for=\"input_4_1\"> No <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_text\" id=\"id_5\">\n        <div id=\"cid_5\" class=\"form-input-wide\">\n          <div id=\"text_5\" class=\"form-html\" data-component=\"text\">\n            <p>You should complain directly to the service involved and follow its complaint process before submitting a complaint to the OCO.\u00a0<\/p>\n            <p>If you are not sure about the steps involved in making a formal written complaint, you can ask for a copy of the Complaints Policy \/ Procedure from the service.<\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_text\" id=\"id_47\">\n        <div id=\"cid_47\" class=\"form-input-wide\">\n          <div id=\"text_47\" class=\"form-html\" data-component=\"text\">\n            <p class=\"p1\"><span class=\"s1\">At the end of this form, you have the option to attach a copy of the complaint and background documentation that you may have submitted to the service concerned. You can also send this information to us by post or attached to an email to <a href=\"mailto:ococomplaint@oco.ie\"><span class=\"s2\">ococomplaint@oco.ie<\/span><\/a><\/span><\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_radio\" id=\"id_6\">\n        <label class=\"form-label form-label-top\" id=\"label_6\" for=\"input_6\"> C. Have you received a final decision \/ reply to your complaint? <\/label>\n        <div id=\"cid_6\" class=\"form-input-wide\">\n          <div class=\"form-multiple-column\" data-columncount=\"2\" data-component=\"radio\">\n            <span class=\"form-radio-item\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"radio\" class=\"form-radio\" id=\"input_6_0\" name=\"q6_cHave\" value=\"Yes\" \/>\n              <label id=\"label_input_6_0\" for=\"input_6_0\"> Yes <\/label>\n            <\/span>\n            <span class=\"form-radio-item\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"radio\" class=\"form-radio\" id=\"input_6_1\" name=\"q6_cHave\" value=\"No\" \/>\n              <label id=\"label_input_6_1\" for=\"input_6_1\"> No <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_text\" id=\"id_7\">\n        <div id=\"cid_7\" class=\"form-input-wide\">\n          <div id=\"text_7\" class=\"form-html\" data-component=\"text\">\n            <p>It is important that you wait for a final decision \/ reply to your complaint. If you are not happy with the response, it may be the right time to submit a complaint to us.<\/p>\n            <p>You can also decide to make a complaint to us if the service has not given you its decision when the service said it would.<\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_text\" id=\"id_48\">\n        <div id=\"cid_48\" class=\"form-input-wide\">\n          <div id=\"text_48\" class=\"form-html\" data-component=\"text\">\n            <p class=\"p1\"><span class=\"s1\">At the end of this form, you have the option to attach relevant background documentation. It is important that you send us a copy of any final decision or response you have received when you made your complaint to the service concerned. You can also send this information to us by post or attached to an email to <a href=\"mailto:ococomplaint@oco.ie\"><span class=\"s2\">ococomplaint@oco.ie<\/span><\/a><\/span><\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li id=\"cid_8\" class=\"form-input-wide\" data-type=\"control_pagebreak\">\n        <div class=\"form-pagebreak\" data-component=\"pagebreak\">\n          <div class=\"form-pagebreak-back-container\">\n            <button id=\"form-pagebreak-back_8\" type=\"button\" class=\"form-pagebreak-back \" data-component=\"pagebreak-back\">\n              Back\n            <\/button>\n          <\/div>\n          <div class=\"form-pagebreak-next-container\">\n            <button id=\"form-pagebreak-next_8\" type=\"button\" class=\"form-pagebreak-next \" data-component=\"pagebreak-next\">\n              Next\n            <\/button>\n          <\/div>\n          <div style=\"clear:both;\" class=\"pageInfo form-sub-label\" id=\"pageInfo_8\">\n          <\/div>\n        <\/div>\n      <\/li>\n    <\/ul>\n    <ul class=\"form-section page-section\" style=\"display:none;\">\n      <li id=\"cid_9\" class=\"form-input-wide\" data-type=\"control_head\">\n        <div class=\"form-header-group \">\n          <div class=\"header-text httal htvam\">\n            <h2 id=\"header_9\" class=\"form-header\" data-component=\"header\">\n              Stage 2: Personal Information\n            <\/h2>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_text\" id=\"id_19\">\n        <div id=\"cid_19\" class=\"form-input-wide\">\n          <div id=\"text_19\" class=\"form-html\" data-component=\"text\">\n            <p><strong>Your information<\/strong><\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_fullname\" id=\"id_10\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_10\" for=\"first_10\"> Name <\/label>\n        <div id=\"cid_10\" class=\"form-input\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"text\" id=\"first_10\" name=\"q10_name[first]\" class=\"form-textbox\" size=\"10\" value=\"\" data-component=\"first\" \/>\n              <label class=\"form-sub-label\" for=\"first_10\" id=\"sublabel_first\" style=\"min-height:13px;\"> First Name <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"text\" id=\"last_10\" name=\"q10_name[last]\" class=\"form-textbox\" size=\"15\" value=\"\" data-component=\"last\" \/>\n              <label class=\"form-sub-label\" for=\"last_10\" id=\"sublabel_last\" style=\"min-height:13px;\"> Last Name <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_address\" id=\"id_11\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_11\" for=\"input_11_addr_line1\"> Address <\/label>\n        <div id=\"cid_11\" class=\"form-input\">\n          <table summary=\"\" class=\"form-address-table\" cellpadding=\"0\" cellspacing=\"0\">\n            <tbody>\n              <tr>\n                <td colspan=\"2\">\n                  <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                    <input type=\"text\" id=\"input_11_addr_line1\" name=\"q11_address[addr_line1]\" class=\"form-textbox form-address-line\" value=\"\" data-component=\"address_line_1\" \/>\n                    <label class=\"form-sub-label\" for=\"input_11_addr_line1\" id=\"sublabel_11_addr_line1\" style=\"min-height:13px;\"> Street Address <\/label>\n                  <\/span>\n                <\/td>\n              <\/tr>\n              <tr>\n                <td colspan=\"2\">\n                  <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                    <input type=\"text\" id=\"input_11_addr_line2\" name=\"q11_address[addr_line2]\" class=\"form-textbox form-address-line\" size=\"46\" value=\"\" data-component=\"address_line_2\" \/>\n                    <label class=\"form-sub-label\" for=\"input_11_addr_line2\" id=\"sublabel_11_addr_line2\" style=\"min-height:13px;\"> Street Address Line 2 <\/label>\n                  <\/span>\n                <\/td>\n              <\/tr>\n              <tr>\n                <td width=\"50%\">\n                  <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                    <input type=\"text\" id=\"input_11_city\" name=\"q11_address[city]\" class=\"form-textbox form-address-city\" size=\"21\" value=\"\" data-component=\"city\" \/>\n                    <label class=\"form-sub-label\" for=\"input_11_city\" id=\"sublabel_11_city\" style=\"min-height:13px;\"> City <\/label>\n                  <\/span>\n                <\/td>\n                <td style=\"display:none;\">\n                  <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                    <input type=\"text\" id=\"input_11_state\" name=\"q11_address[state]\" class=\"form-textbox form-address-state\" size=\"22\" value=\"\" data-component=\"state\" \/>\n                    <label class=\"form-sub-label\" for=\"input_11_state\" id=\"sublabel_11_state\" style=\"min-height:13px;\"> State \/ Province <\/label>\n                  <\/span>\n                <\/td>\n              <\/tr>\n              <tr>\n                <td width=\"50%\" style=\"display:none;\">\n                  <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                    <input type=\"text\" id=\"input_11_postal\" name=\"q11_address[postal]\" class=\"form-textbox form-address-postal\" size=\"10\" value=\"\" data-component=\"zip\" \/>\n                    <label class=\"form-sub-label\" for=\"input_11_postal\" id=\"sublabel_11_postal\" style=\"min-height:13px;\"> Postal \/ Zip Code <\/label>\n                  <\/span>\n                <\/td>\n                <td style=\"display:none;\">\n                  <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                    <select class=\"form-dropdown form-address-country\" name=\"q11_address[country]\" id=\"input_11_country\" data-component=\"country\">\n                      <option value=\"\"> Please Select <\/option>\n                      <option value=\"United States\"> United States <\/option>\n                      <option value=\"Afghanistan\"> Afghanistan <\/option>\n                      <option value=\"Albania\"> Albania <\/option>\n                      <option value=\"Algeria\"> Algeria <\/option>\n                      <option value=\"American Samoa\"> American Samoa <\/option>\n                      <option value=\"Andorra\"> Andorra <\/option>\n                      <option value=\"Angola\"> Angola <\/option>\n                      <option value=\"Anguilla\"> Anguilla <\/option>\n                      <option value=\"Antigua and Barbuda\"> Antigua and Barbuda <\/option>\n                      <option value=\"Argentina\"> Argentina <\/option>\n                      <option value=\"Armenia\"> Armenia <\/option>\n                      <option value=\"Aruba\"> Aruba <\/option>\n                      <option value=\"Australia\"> Australia <\/option>\n                      <option value=\"Austria\"> Austria <\/option>\n                      <option value=\"Azerbaijan\"> Azerbaijan <\/option>\n                      <option value=\"The Bahamas\"> The Bahamas <\/option>\n                      <option value=\"Bahrain\"> Bahrain <\/option>\n                      <option value=\"Bangladesh\"> Bangladesh <\/option>\n                      <option value=\"Barbados\"> Barbados <\/option>\n                      <option value=\"Belarus\"> Belarus <\/option>\n                      <option value=\"Belgium\"> Belgium <\/option>\n                      <option value=\"Belize\"> Belize <\/option>\n                      <option value=\"Benin\"> Benin <\/option>\n                      <option value=\"Bermuda\"> Bermuda <\/option>\n                      <option value=\"Bhutan\"> Bhutan <\/option>\n                      <option value=\"Bolivia\"> Bolivia <\/option>\n                      <option value=\"Bosnia and Herzegovina\"> Bosnia and Herzegovina <\/option>\n                      <option value=\"Botswana\"> Botswana <\/option>\n                      <option value=\"Brazil\"> Brazil <\/option>\n                      <option value=\"Brunei\"> Brunei <\/option>\n                      <option value=\"Bulgaria\"> Bulgaria <\/option>\n                      <option value=\"Burkina Faso\"> Burkina Faso <\/option>\n                      <option value=\"Burundi\"> Burundi <\/option>\n                      <option value=\"Cambodia\"> Cambodia <\/option>\n                      <option value=\"Cameroon\"> Cameroon <\/option>\n                      <option value=\"Canada\"> Canada <\/option>\n                      <option value=\"Cape Verde\"> Cape Verde <\/option>\n                      <option value=\"Cayman Islands\"> Cayman Islands <\/option>\n                      <option value=\"Central African Republic\"> Central African Republic <\/option>\n                      <option value=\"Chad\"> Chad <\/option>\n                      <option value=\"Chile\"> Chile <\/option>\n                      <option value=\"China\"> China <\/option>\n                      <option value=\"Christmas Island\"> Christmas Island <\/option>\n                      <option value=\"Cocos (Keeling) Islands\"> Cocos (Keeling) Islands <\/option>\n                      <option value=\"Colombia\"> Colombia <\/option>\n                      <option value=\"Comoros\"> Comoros <\/option>\n                      <option value=\"Congo\"> Congo <\/option>\n                      <option value=\"Cook Islands\"> Cook Islands <\/option>\n                      <option value=\"Costa Rica\"> Costa Rica <\/option>\n                      <option value=\"Cote d&#x27;Ivoire\"> Cote d&#x27;Ivoire <\/option>\n                      <option value=\"Croatia\"> Croatia <\/option>\n                      <option value=\"Cuba\"> Cuba <\/option>\n                      <option value=\"Cyprus\"> Cyprus <\/option>\n                      <option value=\"Czech Republic\"> Czech Republic <\/option>\n                      <option value=\"Democratic Republic of the Congo\"> Democratic Republic of the Congo <\/option>\n                      <option value=\"Denmark\"> Denmark <\/option>\n                      <option value=\"Djibouti\"> Djibouti <\/option>\n                      <option value=\"Dominica\"> Dominica <\/option>\n                      <option value=\"Dominican Republic\"> Dominican Republic <\/option>\n                      <option value=\"Ecuador\"> Ecuador <\/option>\n                      <option value=\"Egypt\"> Egypt <\/option>\n                      <option value=\"El Salvador\"> El Salvador <\/option>\n                      <option value=\"Equatorial Guinea\"> Equatorial Guinea <\/option>\n                      <option value=\"Eritrea\"> Eritrea <\/option>\n                      <option value=\"Estonia\"> Estonia <\/option>\n                      <option value=\"Ethiopia\"> Ethiopia <\/option>\n                      <option value=\"Falkland Islands\"> Falkland Islands <\/option>\n                      <option value=\"Faroe Islands\"> Faroe Islands <\/option>\n                      <option value=\"Fiji\"> Fiji <\/option>\n                      <option value=\"Finland\"> Finland <\/option>\n                      <option value=\"France\"> France <\/option>\n                      <option value=\"French Polynesia\"> French Polynesia <\/option>\n                      <option value=\"Gabon\"> Gabon <\/option>\n                      <option value=\"The Gambia\"> The Gambia <\/option>\n                      <option value=\"Georgia\"> Georgia <\/option>\n                      <option value=\"Germany\"> Germany <\/option>\n                      <option value=\"Ghana\"> Ghana <\/option>\n                      <option value=\"Gibraltar\"> Gibraltar <\/option>\n                      <option value=\"Greece\"> Greece <\/option>\n                      <option value=\"Greenland\"> Greenland <\/option>\n                      <option value=\"Grenada\"> Grenada <\/option>\n                      <option value=\"Guadeloupe\"> Guadeloupe <\/option>\n                      <option value=\"Guam\"> Guam <\/option>\n                      <option value=\"Guatemala\"> Guatemala <\/option>\n                      <option value=\"Guernsey\"> Guernsey <\/option>\n                      <option value=\"Guinea\"> Guinea <\/option>\n                      <option value=\"Guinea-Bissau\"> Guinea-Bissau <\/option>\n                      <option value=\"Guyana\"> Guyana <\/option>\n                      <option value=\"Haiti\"> Haiti <\/option>\n                      <option value=\"Honduras\"> Honduras <\/option>\n                      <option value=\"Hong Kong\"> Hong Kong <\/option>\n                      <option value=\"Hungary\"> Hungary <\/option>\n                      <option value=\"Iceland\"> Iceland <\/option>\n                      <option value=\"India\"> India <\/option>\n                      <option value=\"Indonesia\"> Indonesia <\/option>\n                      <option value=\"Iran\"> Iran <\/option>\n                      <option value=\"Iraq\"> Iraq <\/option>\n                      <option value=\"Ireland\"> Ireland <\/option>\n                      <option value=\"Israel\"> Israel <\/option>\n                      <option value=\"Italy\"> Italy <\/option>\n                      <option value=\"Jamaica\"> Jamaica <\/option>\n                      <option value=\"Japan\"> Japan <\/option>\n                      <option value=\"Jersey\"> Jersey <\/option>\n                      <option value=\"Jordan\"> Jordan <\/option>\n                      <option value=\"Kazakhstan\"> Kazakhstan <\/option>\n                      <option value=\"Kenya\"> Kenya <\/option>\n                      <option value=\"Kiribati\"> Kiribati <\/option>\n                      <option value=\"North Korea\"> North Korea <\/option>\n                      <option value=\"South Korea\"> South Korea <\/option>\n                      <option value=\"Kosovo\"> Kosovo <\/option>\n                      <option value=\"Kuwait\"> Kuwait <\/option>\n                      <option value=\"Kyrgyzstan\"> Kyrgyzstan <\/option>\n                      <option value=\"Laos\"> Laos <\/option>\n                      <option value=\"Latvia\"> Latvia <\/option>\n                      <option value=\"Lebanon\"> Lebanon <\/option>\n                      <option value=\"Lesotho\"> Lesotho <\/option>\n                      <option value=\"Liberia\"> Liberia <\/option>\n                      <option value=\"Libya\"> Libya <\/option>\n                      <option value=\"Liechtenstein\"> Liechtenstein <\/option>\n                      <option value=\"Lithuania\"> Lithuania <\/option>\n                      <option value=\"Luxembourg\"> Luxembourg <\/option>\n                      <option value=\"Macau\"> Macau <\/option>\n                      <option value=\"Macedonia\"> Macedonia <\/option>\n                      <option value=\"Madagascar\"> Madagascar <\/option>\n                      <option value=\"Malawi\"> Malawi <\/option>\n                      <option value=\"Malaysia\"> Malaysia <\/option>\n                      <option value=\"Maldives\"> Maldives <\/option>\n                      <option value=\"Mali\"> Mali <\/option>\n                      <option value=\"Malta\"> Malta <\/option>\n                      <option value=\"Marshall Islands\"> Marshall Islands <\/option>\n                      <option value=\"Martinique\"> Martinique <\/option>\n                      <option value=\"Mauritania\"> Mauritania <\/option>\n                      <option value=\"Mauritius\"> Mauritius <\/option>\n                      <option value=\"Mayotte\"> Mayotte <\/option>\n                      <option value=\"Mexico\"> Mexico <\/option>\n                      <option value=\"Micronesia\"> Micronesia <\/option>\n                      <option value=\"Moldova\"> Moldova <\/option>\n                      <option value=\"Monaco\"> Monaco <\/option>\n                      <option value=\"Mongolia\"> Mongolia <\/option>\n                      <option value=\"Montenegro\"> Montenegro <\/option>\n                      <option value=\"Montserrat\"> Montserrat <\/option>\n                      <option value=\"Morocco\"> Morocco <\/option>\n                      <option value=\"Mozambique\"> Mozambique <\/option>\n                      <option value=\"Myanmar\"> Myanmar <\/option>\n                      <option value=\"Nagorno-Karabakh\"> Nagorno-Karabakh <\/option>\n                      <option value=\"Namibia\"> Namibia <\/option>\n                      <option value=\"Nauru\"> Nauru <\/option>\n                      <option value=\"Nepal\"> Nepal <\/option>\n                      <option value=\"Netherlands\"> Netherlands <\/option>\n                      <option value=\"Netherlands Antilles\"> Netherlands Antilles <\/option>\n                      <option value=\"New Caledonia\"> New Caledonia <\/option>\n                      <option value=\"New Zealand\"> New Zealand <\/option>\n                      <option value=\"Nicaragua\"> Nicaragua <\/option>\n                      <option value=\"Niger\"> Niger <\/option>\n                      <option value=\"Nigeria\"> Nigeria <\/option>\n                      <option value=\"Niue\"> Niue <\/option>\n                      <option value=\"Norfolk Island\"> Norfolk Island <\/option>\n                      <option value=\"Turkish Republic of Northern Cyprus\"> Turkish Republic of Northern Cyprus <\/option>\n                      <option value=\"Northern Mariana\"> Northern Mariana <\/option>\n                      <option value=\"Norway\"> Norway <\/option>\n                      <option value=\"Oman\"> Oman <\/option>\n                      <option value=\"Pakistan\"> Pakistan <\/option>\n                      <option value=\"Palau\"> Palau <\/option>\n                      <option value=\"Palestine\"> Palestine <\/option>\n                      <option value=\"Panama\"> Panama <\/option>\n                      <option value=\"Papua New Guinea\"> Papua New Guinea <\/option>\n                      <option value=\"Paraguay\"> Paraguay <\/option>\n                      <option value=\"Peru\"> Peru <\/option>\n                      <option value=\"Philippines\"> Philippines <\/option>\n                      <option value=\"Pitcairn Islands\"> Pitcairn Islands <\/option>\n                      <option value=\"Poland\"> Poland <\/option>\n                      <option value=\"Portugal\"> Portugal <\/option>\n                      <option value=\"Puerto Rico\"> Puerto Rico <\/option>\n                      <option value=\"Qatar\"> Qatar <\/option>\n                      <option value=\"Republic of the Congo\"> Republic of the Congo <\/option>\n                      <option value=\"Romania\"> Romania <\/option>\n                      <option value=\"Russia\"> Russia <\/option>\n                      <option value=\"Rwanda\"> Rwanda <\/option>\n                      <option value=\"Saint Barthelemy\"> Saint Barthelemy <\/option>\n                      <option value=\"Saint Helena\"> Saint Helena <\/option>\n                      <option value=\"Saint Kitts and Nevis\"> Saint Kitts and Nevis <\/option>\n                      <option value=\"Saint Lucia\"> Saint Lucia <\/option>\n                      <option value=\"Saint Martin\"> Saint Martin <\/option>\n                      <option value=\"Saint Pierre and Miquelon\"> Saint Pierre and Miquelon <\/option>\n                      <option value=\"Saint Vincent and the Grenadines\"> Saint Vincent and the Grenadines <\/option>\n                      <option value=\"Samoa\"> Samoa <\/option>\n                      <option value=\"San Marino\"> San Marino <\/option>\n                      <option value=\"Sao Tome and Principe\"> Sao Tome and Principe <\/option>\n                      <option value=\"Saudi Arabia\"> Saudi Arabia <\/option>\n                      <option value=\"Senegal\"> Senegal <\/option>\n                      <option value=\"Serbia\"> Serbia <\/option>\n                      <option value=\"Seychelles\"> Seychelles <\/option>\n                      <option value=\"Sierra Leone\"> Sierra Leone <\/option>\n                      <option value=\"Singapore\"> Singapore <\/option>\n                      <option value=\"Slovakia\"> Slovakia <\/option>\n                      <option value=\"Slovenia\"> Slovenia <\/option>\n                      <option value=\"Solomon Islands\"> Solomon Islands <\/option>\n                      <option value=\"Somalia\"> Somalia <\/option>\n                      <option value=\"Somaliland\"> Somaliland <\/option>\n                      <option value=\"South Africa\"> South Africa <\/option>\n                      <option value=\"South Ossetia\"> South Ossetia <\/option>\n                      <option value=\"South Sudan\"> South Sudan <\/option>\n                      <option value=\"Spain\"> Spain <\/option>\n                      <option value=\"Sri Lanka\"> Sri Lanka <\/option>\n                      <option value=\"Sudan\"> Sudan <\/option>\n                      <option value=\"Suriname\"> Suriname <\/option>\n                      <option value=\"Svalbard\"> Svalbard <\/option>\n                      <option value=\"Swaziland\"> Swaziland <\/option>\n                      <option value=\"Sweden\"> Sweden <\/option>\n                      <option value=\"Switzerland\"> Switzerland <\/option>\n                      <option value=\"Syria\"> Syria <\/option>\n                      <option value=\"Taiwan\"> Taiwan <\/option>\n                      <option value=\"Tajikistan\"> Tajikistan <\/option>\n                      <option value=\"Tanzania\"> Tanzania <\/option>\n                      <option value=\"Thailand\"> Thailand <\/option>\n                      <option value=\"Timor-Leste\"> Timor-Leste <\/option>\n                      <option value=\"Togo\"> Togo <\/option>\n                      <option value=\"Tokelau\"> Tokelau <\/option>\n                      <option value=\"Tonga\"> Tonga <\/option>\n                      <option value=\"Transnistria Pridnestrovie\"> Transnistria Pridnestrovie <\/option>\n                      <option value=\"Trinidad and Tobago\"> Trinidad and Tobago <\/option>\n                      <option value=\"Tristan da Cunha\"> Tristan da Cunha <\/option>\n                      <option value=\"Tunisia\"> Tunisia <\/option>\n                      <option value=\"Turkey\"> Turkey <\/option>\n                      <option value=\"Turkmenistan\"> Turkmenistan <\/option>\n                      <option value=\"Turks and Caicos Islands\"> Turks and Caicos Islands <\/option>\n                      <option value=\"Tuvalu\"> Tuvalu <\/option>\n                      <option value=\"Uganda\"> Uganda <\/option>\n                      <option value=\"Ukraine\"> Ukraine <\/option>\n                      <option value=\"United Arab Emirates\"> United Arab Emirates <\/option>\n                      <option value=\"United Kingdom\"> United Kingdom <\/option>\n                      <option value=\"Uruguay\"> Uruguay <\/option>\n                      <option value=\"Uzbekistan\"> Uzbekistan <\/option>\n                      <option value=\"Vanuatu\"> Vanuatu <\/option>\n                      <option value=\"Vatican City\"> Vatican City <\/option>\n                      <option value=\"Venezuela\"> Venezuela <\/option>\n                      <option value=\"Vietnam\"> Vietnam <\/option>\n                      <option value=\"British Virgin Islands\"> British Virgin Islands <\/option>\n                      <option value=\"Isle of Man\"> Isle of Man <\/option>\n                      <option value=\"US Virgin Islands\"> US Virgin Islands <\/option>\n                      <option value=\"Wallis and Futuna\"> Wallis and Futuna <\/option>\n                      <option value=\"Western Sahara\"> Western Sahara <\/option>\n                      <option value=\"Yemen\"> Yemen <\/option>\n                      <option value=\"Zambia\"> Zambia <\/option>\n                      <option value=\"Zimbabwe\"> Zimbabwe <\/option>\n                      <option value=\"other\"> Other <\/option>\n                    <\/select>\n                    <label class=\"form-sub-label\" for=\"input_11_country\" id=\"sublabel_11_country\" style=\"min-height:13px;\"> Country <\/label>\n                  <\/span>\n                <\/td>\n              <\/tr>\n            <\/tbody>\n          <\/table>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_phone\" id=\"id_12\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_12\" for=\"input_12_area\"> Phone Number <\/label>\n        <div id=\"cid_12\" class=\"form-input\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"tel\" id=\"input_12_area\" name=\"q12_phoneNumber[area]\" class=\"form-textbox\" size=\"3\" value=\"\" data-component=\"areaCode\" \/>\n              <span class=\"phone-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"input_12_area\" id=\"sublabel_area\" style=\"min-height:13px;\"> Area Code <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"tel\" id=\"input_12_phone\" name=\"q12_phoneNumber[phone]\" class=\"form-textbox\" size=\"8\" value=\"\" data-component=\"phone\" \/>\n              <label class=\"form-sub-label\" for=\"input_12_phone\" id=\"sublabel_phone\" style=\"min-height:13px;\"> Phone Number <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_email\" id=\"id_13\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_13\" for=\"input_13\"> E-mail <\/label>\n        <div id=\"cid_13\" class=\"form-input\">\n          <input type=\"email\" id=\"input_13\" name=\"q13_email\" class=\"form-textbox validate[Email]\" size=\"30\" value=\"\" placeholder=\" \" data-component=\"email\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_radio\" id=\"id_14\">\n        <label class=\"form-label form-label-top\" id=\"label_14\" for=\"input_14\"> Are you a young person making a complaint about something that affects you? <\/label>\n        <div id=\"cid_14\" class=\"form-input-wide\">\n          <div class=\"form-multiple-column\" data-columncount=\"2\" data-component=\"radio\">\n            <span class=\"form-radio-item\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"radio\" class=\"form-radio\" id=\"input_14_0\" name=\"q14_areYou\" value=\"Yes\" \/>\n              <label id=\"label_input_14_0\" for=\"input_14_0\"> Yes <\/label>\n            <\/span>\n            <span class=\"form-radio-item\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"radio\" class=\"form-radio\" id=\"input_14_1\" name=\"q14_areYou\" value=\"No\" \/>\n              <label id=\"label_input_14_1\" for=\"input_14_1\"> No <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_datetime\" id=\"id_16\">\n        <label class=\"form-label form-label-top\" id=\"label_16\" for=\"day_16\"> If yes, please give your date of birth: <\/label>\n        <div id=\"cid_16\" class=\"form-input-wide\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"day_16\" name=\"q16_ifYes[day]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" value=\"\" \/>\n              <span class=\"date-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"day_16\" id=\"sublabel_day\" style=\"min-height:13px;\"> Day <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"month_16\" name=\"q16_ifYes[month]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" value=\"\" \/>\n              <span class=\"date-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"month_16\" id=\"sublabel_month\" style=\"min-height:13px;\"> Month <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"year_16\" name=\"q16_ifYes[year]\" type=\"tel\" size=\"4\" data-maxlength=\"4\" value=\"\" \/>\n              <label class=\"form-sub-label\" for=\"year_16\" id=\"sublabel_year\" style=\"min-height:13px;\"> Year <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <img class=\"showAutoCalendar\" alt=\"Pick a Date\" id=\"input_16_pick\" src=\"https:\/\/cdn.jotfor.ms\/images\/calendar.png\" style=\"vertical-align:middle;\" data-component=\"datetime\" \/>\n              <label class=\"form-sub-label\" for=\"input_16_pick\" style=\"min-height:13px;\">  <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_radio\" id=\"id_17\">\n        <label class=\"form-label form-label-top\" id=\"label_17\" for=\"input_17\"> What is the best way for us to contact you? <\/label>\n        <div id=\"cid_17\" class=\"form-input-wide\">\n          <div class=\"form-multiple-column\" data-columncount=\"2\" data-component=\"radio\">\n            <span class=\"form-radio-item\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"radio\" class=\"form-radio\" id=\"input_17_0\" name=\"q17_whatIs\" value=\"Phone\" \/>\n              <label id=\"label_input_17_0\" for=\"input_17_0\"> Phone <\/label>\n            <\/span>\n            <span class=\"form-radio-item\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"radio\" class=\"form-radio\" id=\"input_17_1\" name=\"q17_whatIs\" value=\"Email\" \/>\n              <label id=\"label_input_17_1\" for=\"input_17_1\"> Email <\/label>\n            <\/span>\n            <span class=\"form-radio-item\" style=\"clear:left;\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"radio\" class=\"form-radio\" id=\"input_17_2\" name=\"q17_whatIs\" value=\"Either\" \/>\n              <label id=\"label_input_17_2\" for=\"input_17_2\"> Either <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_18\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_18\" for=\"input_18\"> How did you hear about us? <\/label>\n        <div id=\"cid_18\" class=\"form-input\">\n          <textarea id=\"input_18\" class=\"form-textarea\" name=\"q18_howDid\" cols=\"40\" rows=\"6\" data-component=\"textarea\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li id=\"cid_55\" class=\"form-input-wide\" data-type=\"control_head\">\n        <div class=\"form-header-group \">\n          <div class=\"header-text httal htvam\">\n            <h3 id=\"header_55\" class=\"form-header\" data-component=\"header\">\n              Child\/Children&#x27;s Information\n            <\/h3>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column form-col-1\" data-type=\"control_fullname\" id=\"id_52\">\n        <label class=\"form-label form-label-top\" id=\"label_52\" for=\"first_52\"> Child 1 <\/label>\n        <div id=\"cid_52\" class=\"form-input-wide\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"text\" id=\"first_52\" name=\"q52_childchildrensInformation[first]\" class=\"form-textbox\" size=\"10\" value=\"\" data-component=\"first\" \/>\n              <label class=\"form-sub-label\" for=\"first_52\" id=\"sublabel_first\" style=\"min-height:13px;\"> First Name <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"text\" id=\"last_52\" name=\"q52_childchildrensInformation[last]\" class=\"form-textbox\" size=\"15\" value=\"\" data-component=\"last\" \/>\n              <label class=\"form-sub-label\" for=\"last_52\" id=\"sublabel_last\" style=\"min-height:13px;\"> Last Name <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column form-col-2\" data-type=\"control_datetime\" id=\"id_53\">\n        <label class=\"form-label form-label-top\" id=\"label_53\" for=\"day_53\"> Child 1 Date of Birth <\/label>\n        <div id=\"cid_53\" class=\"form-input-wide\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"day_53\" name=\"q53_childDate[day]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" value=\"\" \/>\n              <span class=\"date-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"day_53\" id=\"sublabel_day\" style=\"min-height:13px;\"> Day <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"month_53\" name=\"q53_childDate[month]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" value=\"\" \/>\n              <span class=\"date-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"month_53\" id=\"sublabel_month\" style=\"min-height:13px;\"> Month <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"year_53\" name=\"q53_childDate[year]\" type=\"tel\" size=\"4\" data-maxlength=\"4\" value=\"\" \/>\n              <label class=\"form-sub-label\" for=\"year_53\" id=\"sublabel_year\" style=\"min-height:13px;\"> Year <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <img class=\"showAutoCalendar\" alt=\"Pick a Date\" id=\"input_53_pick\" src=\"https:\/\/cdn.jotfor.ms\/images\/calendar.png\" style=\"vertical-align:middle;\" data-component=\"datetime\" \/>\n              <label class=\"form-sub-label\" for=\"input_53_pick\" style=\"min-height:13px;\">  <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column form-col-3\" data-type=\"control_fullname\" id=\"id_56\">\n        <label class=\"form-label form-label-top\" id=\"label_56\" for=\"first_56\"> Child 2 <\/label>\n        <div id=\"cid_56\" class=\"form-input-wide\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"text\" id=\"first_56\" name=\"q56_name56[first]\" class=\"form-textbox\" size=\"10\" value=\"\" data-component=\"first\" \/>\n              <label class=\"form-sub-label\" for=\"first_56\" id=\"sublabel_first\" style=\"min-height:13px;\"> First Name <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"text\" id=\"last_56\" name=\"q56_name56[last]\" class=\"form-textbox\" size=\"15\" value=\"\" data-component=\"last\" \/>\n              <label class=\"form-sub-label\" for=\"last_56\" id=\"sublabel_last\" style=\"min-height:13px;\"> Last Name <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column form-col-4\" data-type=\"control_datetime\" id=\"id_57\">\n        <label class=\"form-label form-label-top\" id=\"label_57\" for=\"day_57\"> Child 2 Date of Birth <\/label>\n        <div id=\"cid_57\" class=\"form-input-wide\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"day_57\" name=\"q57_date[day]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" value=\"\" \/>\n              <span class=\"date-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"day_57\" id=\"sublabel_day\" style=\"min-height:13px;\"> Day <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"month_57\" name=\"q57_date[month]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" value=\"\" \/>\n              <span class=\"date-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"month_57\" id=\"sublabel_month\" style=\"min-height:13px;\"> Month <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"year_57\" name=\"q57_date[year]\" type=\"tel\" size=\"4\" data-maxlength=\"4\" value=\"\" \/>\n              <label class=\"form-sub-label\" for=\"year_57\" id=\"sublabel_year\" style=\"min-height:13px;\"> Year <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <img class=\"showAutoCalendar\" alt=\"Pick a Date\" id=\"input_57_pick\" src=\"https:\/\/cdn.jotfor.ms\/images\/calendar.png\" style=\"vertical-align:middle;\" data-component=\"datetime\" \/>\n              <label class=\"form-sub-label\" for=\"input_57_pick\" style=\"min-height:13px;\">  <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column form-col-5\" data-type=\"control_fullname\" id=\"id_58\">\n        <label class=\"form-label form-label-top\" id=\"label_58\" for=\"first_58\"> Child 3 <\/label>\n        <div id=\"cid_58\" class=\"form-input-wide\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"text\" id=\"first_58\" name=\"q58_name58[first]\" class=\"form-textbox\" size=\"10\" value=\"\" data-component=\"first\" \/>\n              <label class=\"form-sub-label\" for=\"first_58\" id=\"sublabel_first\" style=\"min-height:13px;\"> First Name <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"text\" id=\"last_58\" name=\"q58_name58[last]\" class=\"form-textbox\" size=\"15\" value=\"\" data-component=\"last\" \/>\n              <label class=\"form-sub-label\" for=\"last_58\" id=\"sublabel_last\" style=\"min-height:13px;\"> Last Name <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column form-col-6\" data-type=\"control_datetime\" id=\"id_59\">\n        <label class=\"form-label form-label-top\" id=\"label_59\" for=\"day_59\"> Child 3 Date of Birth <\/label>\n        <div id=\"cid_59\" class=\"form-input-wide\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"day_59\" name=\"q59_date59[day]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" value=\"\" \/>\n              <span class=\"date-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"day_59\" id=\"sublabel_day\" style=\"min-height:13px;\"> Day <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"month_59\" name=\"q59_date59[month]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" value=\"\" \/>\n              <span class=\"date-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"month_59\" id=\"sublabel_month\" style=\"min-height:13px;\"> Month <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"year_59\" name=\"q59_date59[year]\" type=\"tel\" size=\"4\" data-maxlength=\"4\" value=\"\" \/>\n              <label class=\"form-sub-label\" for=\"year_59\" id=\"sublabel_year\" style=\"min-height:13px;\"> Year <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <img class=\"showAutoCalendar\" alt=\"Pick a Date\" id=\"input_59_pick\" src=\"https:\/\/cdn.jotfor.ms\/images\/calendar.png\" style=\"vertical-align:middle;\" data-component=\"datetime\" \/>\n              <label class=\"form-sub-label\" for=\"input_59_pick\" style=\"min-height:13px;\">  <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column form-col-7\" data-type=\"control_fullname\" id=\"id_60\">\n        <label class=\"form-label form-label-top\" id=\"label_60\" for=\"first_60\"> Child 4 <\/label>\n        <div id=\"cid_60\" class=\"form-input-wide\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"text\" id=\"first_60\" name=\"q60_name60[first]\" class=\"form-textbox\" size=\"10\" value=\"\" data-component=\"first\" \/>\n              <label class=\"form-sub-label\" for=\"first_60\" id=\"sublabel_first\" style=\"min-height:13px;\"> First Name <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"text\" id=\"last_60\" name=\"q60_name60[last]\" class=\"form-textbox\" size=\"15\" value=\"\" data-component=\"last\" \/>\n              <label class=\"form-sub-label\" for=\"last_60\" id=\"sublabel_last\" style=\"min-height:13px;\"> Last Name <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column form-col-8\" data-type=\"control_datetime\" id=\"id_61\">\n        <label class=\"form-label form-label-top\" id=\"label_61\" for=\"day_61\"> Child 4 Date of Birth <\/label>\n        <div id=\"cid_61\" class=\"form-input-wide\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"day_61\" name=\"q61_date61[day]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" value=\"\" \/>\n              <span class=\"date-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"day_61\" id=\"sublabel_day\" style=\"min-height:13px;\"> Day <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"month_61\" name=\"q61_date61[month]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" value=\"\" \/>\n              <span class=\"date-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"month_61\" id=\"sublabel_month\" style=\"min-height:13px;\"> Month <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"year_61\" name=\"q61_date61[year]\" type=\"tel\" size=\"4\" data-maxlength=\"4\" value=\"\" \/>\n              <label class=\"form-sub-label\" for=\"year_61\" id=\"sublabel_year\" style=\"min-height:13px;\"> Year <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <img class=\"showAutoCalendar\" alt=\"Pick a Date\" id=\"input_61_pick\" src=\"https:\/\/cdn.jotfor.ms\/images\/calendar.png\" style=\"vertical-align:middle;\" data-component=\"datetime\" \/>\n              <label class=\"form-sub-label\" for=\"input_61_pick\" style=\"min-height:13px;\">  <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_54\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_54\" for=\"input_54\"> If there are more children enter their details here <\/label>\n        <div id=\"cid_54\" class=\"form-input\">\n          <textarea id=\"input_54\" class=\"form-textarea\" name=\"q54_ifThere\" cols=\"40\" rows=\"6\" data-component=\"textarea\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_address\" id=\"id_27\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_27\" for=\"input_27_addr_line1\"> Child's Address <\/label>\n        <div id=\"cid_27\" class=\"form-input\">\n          <table summary=\"\" class=\"form-address-table\" cellpadding=\"0\" cellspacing=\"0\">\n            <tbody>\n              <tr>\n                <td colspan=\"2\">\n                  <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                    <input type=\"text\" id=\"input_27_addr_line1\" name=\"q27_childsAddress[addr_line1]\" class=\"form-textbox form-address-line\" value=\"\" data-component=\"address_line_1\" \/>\n                    <label class=\"form-sub-label\" for=\"input_27_addr_line1\" id=\"sublabel_27_addr_line1\" style=\"min-height:13px;\"> Street Address <\/label>\n                  <\/span>\n                <\/td>\n              <\/tr>\n              <tr>\n                <td colspan=\"2\">\n                  <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                    <input type=\"text\" id=\"input_27_addr_line2\" name=\"q27_childsAddress[addr_line2]\" class=\"form-textbox form-address-line\" size=\"46\" value=\"\" data-component=\"address_line_2\" \/>\n                    <label class=\"form-sub-label\" for=\"input_27_addr_line2\" id=\"sublabel_27_addr_line2\" style=\"min-height:13px;\"> Street Address Line 2 <\/label>\n                  <\/span>\n                <\/td>\n              <\/tr>\n              <tr>\n                <td width=\"50%\">\n                  <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                    <input type=\"text\" id=\"input_27_city\" name=\"q27_childsAddress[city]\" class=\"form-textbox form-address-city\" size=\"21\" value=\"\" data-component=\"city\" \/>\n                    <label class=\"form-sub-label\" for=\"input_27_city\" id=\"sublabel_27_city\" style=\"min-height:13px;\"> City <\/label>\n                  <\/span>\n                <\/td>\n                <td style=\"display:none;\">\n                  <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                    <input type=\"text\" id=\"input_27_state\" name=\"q27_childsAddress[state]\" class=\"form-textbox form-address-state\" size=\"22\" value=\"\" data-component=\"state\" \/>\n                    <label class=\"form-sub-label\" for=\"input_27_state\" id=\"sublabel_27_state\" style=\"min-height:13px;\"> State \/ Province <\/label>\n                  <\/span>\n                <\/td>\n              <\/tr>\n              <tr>\n                <td width=\"50%\" style=\"display:none;\">\n                  <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                    <input type=\"text\" id=\"input_27_postal\" name=\"q27_childsAddress[postal]\" class=\"form-textbox form-address-postal\" size=\"10\" value=\"\" data-component=\"zip\" \/>\n                    <label class=\"form-sub-label\" for=\"input_27_postal\" id=\"sublabel_27_postal\" style=\"min-height:13px;\"> Postal \/ Zip Code <\/label>\n                  <\/span>\n                <\/td>\n                <td style=\"display:none;\">\n                  <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                    <select class=\"form-dropdown form-address-country\" name=\"q27_childsAddress[country]\" id=\"input_27_country\" data-component=\"country\">\n                      <option value=\"\"> Please Select <\/option>\n                      <option value=\"United States\"> United States <\/option>\n                      <option value=\"Afghanistan\"> Afghanistan <\/option>\n                      <option value=\"Albania\"> Albania <\/option>\n                      <option value=\"Algeria\"> Algeria <\/option>\n                      <option value=\"American Samoa\"> American Samoa <\/option>\n                      <option value=\"Andorra\"> Andorra <\/option>\n                      <option value=\"Angola\"> Angola <\/option>\n                      <option value=\"Anguilla\"> Anguilla <\/option>\n                      <option value=\"Antigua and Barbuda\"> Antigua and Barbuda <\/option>\n                      <option value=\"Argentina\"> Argentina <\/option>\n                      <option value=\"Armenia\"> Armenia <\/option>\n                      <option value=\"Aruba\"> Aruba <\/option>\n                      <option value=\"Australia\"> Australia <\/option>\n                      <option value=\"Austria\"> Austria <\/option>\n                      <option value=\"Azerbaijan\"> Azerbaijan <\/option>\n                      <option value=\"The Bahamas\"> The Bahamas <\/option>\n                      <option value=\"Bahrain\"> Bahrain <\/option>\n                      <option value=\"Bangladesh\"> Bangladesh <\/option>\n                      <option value=\"Barbados\"> Barbados <\/option>\n                      <option value=\"Belarus\"> Belarus <\/option>\n                      <option value=\"Belgium\"> Belgium <\/option>\n                      <option value=\"Belize\"> Belize <\/option>\n                      <option value=\"Benin\"> Benin <\/option>\n                      <option value=\"Bermuda\"> Bermuda <\/option>\n                      <option value=\"Bhutan\"> Bhutan <\/option>\n                      <option value=\"Bolivia\"> Bolivia <\/option>\n                      <option value=\"Bosnia and Herzegovina\"> Bosnia and Herzegovina <\/option>\n                      <option value=\"Botswana\"> Botswana <\/option>\n                      <option value=\"Brazil\"> Brazil <\/option>\n                      <option value=\"Brunei\"> Brunei <\/option>\n                      <option value=\"Bulgaria\"> Bulgaria <\/option>\n                      <option value=\"Burkina Faso\"> Burkina Faso <\/option>\n                      <option value=\"Burundi\"> Burundi <\/option>\n                      <option value=\"Cambodia\"> Cambodia <\/option>\n                      <option value=\"Cameroon\"> Cameroon <\/option>\n                      <option value=\"Canada\"> Canada <\/option>\n                      <option value=\"Cape Verde\"> Cape Verde <\/option>\n                      <option value=\"Cayman Islands\"> Cayman Islands <\/option>\n                      <option value=\"Central African Republic\"> Central African Republic <\/option>\n                      <option value=\"Chad\"> Chad <\/option>\n                      <option value=\"Chile\"> Chile <\/option>\n                      <option value=\"China\"> China <\/option>\n                      <option value=\"Christmas Island\"> Christmas Island <\/option>\n                      <option value=\"Cocos (Keeling) Islands\"> Cocos (Keeling) Islands <\/option>\n                      <option value=\"Colombia\"> Colombia <\/option>\n                      <option value=\"Comoros\"> Comoros <\/option>\n                      <option value=\"Congo\"> Congo <\/option>\n                      <option value=\"Cook Islands\"> Cook Islands <\/option>\n                      <option value=\"Costa Rica\"> Costa Rica <\/option>\n                      <option value=\"Cote d&#x27;Ivoire\"> Cote d&#x27;Ivoire <\/option>\n                      <option value=\"Croatia\"> Croatia <\/option>\n                      <option value=\"Cuba\"> Cuba <\/option>\n                      <option value=\"Cyprus\"> Cyprus <\/option>\n                      <option value=\"Czech Republic\"> Czech Republic <\/option>\n                      <option value=\"Democratic Republic of the Congo\"> Democratic Republic of the Congo <\/option>\n                      <option value=\"Denmark\"> Denmark <\/option>\n                      <option value=\"Djibouti\"> Djibouti <\/option>\n                      <option value=\"Dominica\"> Dominica <\/option>\n                      <option value=\"Dominican Republic\"> Dominican Republic <\/option>\n                      <option value=\"Ecuador\"> Ecuador <\/option>\n                      <option value=\"Egypt\"> Egypt <\/option>\n                      <option value=\"El Salvador\"> El Salvador <\/option>\n                      <option value=\"Equatorial Guinea\"> Equatorial Guinea <\/option>\n                      <option value=\"Eritrea\"> Eritrea <\/option>\n                      <option value=\"Estonia\"> Estonia <\/option>\n                      <option value=\"Ethiopia\"> Ethiopia <\/option>\n                      <option value=\"Falkland Islands\"> Falkland Islands <\/option>\n                      <option value=\"Faroe Islands\"> Faroe Islands <\/option>\n                      <option value=\"Fiji\"> Fiji <\/option>\n                      <option value=\"Finland\"> Finland <\/option>\n                      <option value=\"France\"> France <\/option>\n                      <option value=\"French Polynesia\"> French Polynesia <\/option>\n                      <option value=\"Gabon\"> Gabon <\/option>\n                      <option value=\"The Gambia\"> The Gambia <\/option>\n                      <option value=\"Georgia\"> Georgia <\/option>\n                      <option value=\"Germany\"> Germany <\/option>\n                      <option value=\"Ghana\"> Ghana <\/option>\n                      <option value=\"Gibraltar\"> Gibraltar <\/option>\n                      <option value=\"Greece\"> Greece <\/option>\n                      <option value=\"Greenland\"> Greenland <\/option>\n                      <option value=\"Grenada\"> Grenada <\/option>\n                      <option value=\"Guadeloupe\"> Guadeloupe <\/option>\n                      <option value=\"Guam\"> Guam <\/option>\n                      <option value=\"Guatemala\"> Guatemala <\/option>\n                      <option value=\"Guernsey\"> Guernsey <\/option>\n                      <option value=\"Guinea\"> Guinea <\/option>\n                      <option value=\"Guinea-Bissau\"> Guinea-Bissau <\/option>\n                      <option value=\"Guyana\"> Guyana <\/option>\n                      <option value=\"Haiti\"> Haiti <\/option>\n                      <option value=\"Honduras\"> Honduras <\/option>\n                      <option value=\"Hong Kong\"> Hong Kong <\/option>\n                      <option value=\"Hungary\"> Hungary <\/option>\n                      <option value=\"Iceland\"> Iceland <\/option>\n                      <option value=\"India\"> India <\/option>\n                      <option value=\"Indonesia\"> Indonesia <\/option>\n                      <option value=\"Iran\"> Iran <\/option>\n                      <option value=\"Iraq\"> Iraq <\/option>\n                      <option value=\"Ireland\"> Ireland <\/option>\n                      <option value=\"Israel\"> Israel <\/option>\n                      <option value=\"Italy\"> Italy <\/option>\n                      <option value=\"Jamaica\"> Jamaica <\/option>\n                      <option value=\"Japan\"> Japan <\/option>\n                      <option value=\"Jersey\"> Jersey <\/option>\n                      <option value=\"Jordan\"> Jordan <\/option>\n                      <option value=\"Kazakhstan\"> Kazakhstan <\/option>\n                      <option value=\"Kenya\"> Kenya <\/option>\n                      <option value=\"Kiribati\"> Kiribati <\/option>\n                      <option value=\"North Korea\"> North Korea <\/option>\n                      <option value=\"South Korea\"> South Korea <\/option>\n                      <option value=\"Kosovo\"> Kosovo <\/option>\n                      <option value=\"Kuwait\"> Kuwait <\/option>\n                      <option value=\"Kyrgyzstan\"> Kyrgyzstan <\/option>\n                      <option value=\"Laos\"> Laos <\/option>\n                      <option value=\"Latvia\"> Latvia <\/option>\n                      <option value=\"Lebanon\"> Lebanon <\/option>\n                      <option value=\"Lesotho\"> Lesotho <\/option>\n                      <option value=\"Liberia\"> Liberia <\/option>\n                      <option value=\"Libya\"> Libya <\/option>\n                      <option value=\"Liechtenstein\"> Liechtenstein <\/option>\n                      <option value=\"Lithuania\"> Lithuania <\/option>\n                      <option value=\"Luxembourg\"> Luxembourg <\/option>\n                      <option value=\"Macau\"> Macau <\/option>\n                      <option value=\"Macedonia\"> Macedonia <\/option>\n                      <option value=\"Madagascar\"> Madagascar <\/option>\n                      <option value=\"Malawi\"> Malawi <\/option>\n                      <option value=\"Malaysia\"> Malaysia <\/option>\n                      <option value=\"Maldives\"> Maldives <\/option>\n                      <option value=\"Mali\"> Mali <\/option>\n                      <option value=\"Malta\"> Malta <\/option>\n                      <option value=\"Marshall Islands\"> Marshall Islands <\/option>\n                      <option value=\"Martinique\"> Martinique <\/option>\n                      <option value=\"Mauritania\"> Mauritania <\/option>\n                      <option value=\"Mauritius\"> Mauritius <\/option>\n                      <option value=\"Mayotte\"> Mayotte <\/option>\n                      <option value=\"Mexico\"> Mexico <\/option>\n                      <option value=\"Micronesia\"> Micronesia <\/option>\n                      <option value=\"Moldova\"> Moldova <\/option>\n                      <option value=\"Monaco\"> Monaco <\/option>\n                      <option value=\"Mongolia\"> Mongolia <\/option>\n                      <option value=\"Montenegro\"> Montenegro <\/option>\n                      <option value=\"Montserrat\"> Montserrat <\/option>\n                      <option value=\"Morocco\"> Morocco <\/option>\n                      <option value=\"Mozambique\"> Mozambique <\/option>\n                      <option value=\"Myanmar\"> Myanmar <\/option>\n                      <option value=\"Nagorno-Karabakh\"> Nagorno-Karabakh <\/option>\n                      <option value=\"Namibia\"> Namibia <\/option>\n                      <option value=\"Nauru\"> Nauru <\/option>\n                      <option value=\"Nepal\"> Nepal <\/option>\n                      <option value=\"Netherlands\"> Netherlands <\/option>\n                      <option value=\"Netherlands Antilles\"> Netherlands Antilles <\/option>\n                      <option value=\"New Caledonia\"> New Caledonia <\/option>\n                      <option value=\"New Zealand\"> New Zealand <\/option>\n                      <option value=\"Nicaragua\"> Nicaragua <\/option>\n                      <option value=\"Niger\"> Niger <\/option>\n                      <option value=\"Nigeria\"> Nigeria <\/option>\n                      <option value=\"Niue\"> Niue <\/option>\n                      <option value=\"Norfolk Island\"> Norfolk Island <\/option>\n                      <option value=\"Turkish Republic of Northern Cyprus\"> Turkish Republic of Northern Cyprus <\/option>\n                      <option value=\"Northern Mariana\"> Northern Mariana <\/option>\n                      <option value=\"Norway\"> Norway <\/option>\n                      <option value=\"Oman\"> Oman <\/option>\n                      <option value=\"Pakistan\"> Pakistan <\/option>\n                      <option value=\"Palau\"> Palau <\/option>\n                      <option value=\"Palestine\"> Palestine <\/option>\n                      <option value=\"Panama\"> Panama <\/option>\n                      <option value=\"Papua New Guinea\"> Papua New Guinea <\/option>\n                      <option value=\"Paraguay\"> Paraguay <\/option>\n                      <option value=\"Peru\"> Peru <\/option>\n                      <option value=\"Philippines\"> Philippines <\/option>\n                      <option value=\"Pitcairn Islands\"> Pitcairn Islands <\/option>\n                      <option value=\"Poland\"> Poland <\/option>\n                      <option value=\"Portugal\"> Portugal <\/option>\n                      <option value=\"Puerto Rico\"> Puerto Rico <\/option>\n                      <option value=\"Qatar\"> Qatar <\/option>\n                      <option value=\"Republic of the Congo\"> Republic of the Congo <\/option>\n                      <option value=\"Romania\"> Romania <\/option>\n                      <option value=\"Russia\"> Russia <\/option>\n                      <option value=\"Rwanda\"> Rwanda <\/option>\n                      <option value=\"Saint Barthelemy\"> Saint Barthelemy <\/option>\n                      <option value=\"Saint Helena\"> Saint Helena <\/option>\n                      <option value=\"Saint Kitts and Nevis\"> Saint Kitts and Nevis <\/option>\n                      <option value=\"Saint Lucia\"> Saint Lucia <\/option>\n                      <option value=\"Saint Martin\"> Saint Martin <\/option>\n                      <option value=\"Saint Pierre and Miquelon\"> Saint Pierre and Miquelon <\/option>\n                      <option value=\"Saint Vincent and the Grenadines\"> Saint Vincent and the Grenadines <\/option>\n                      <option value=\"Samoa\"> Samoa <\/option>\n                      <option value=\"San Marino\"> San Marino <\/option>\n                      <option value=\"Sao Tome and Principe\"> Sao Tome and Principe <\/option>\n                      <option value=\"Saudi Arabia\"> Saudi Arabia <\/option>\n                      <option value=\"Senegal\"> Senegal <\/option>\n                      <option value=\"Serbia\"> Serbia <\/option>\n                      <option value=\"Seychelles\"> Seychelles <\/option>\n                      <option value=\"Sierra Leone\"> Sierra Leone <\/option>\n                      <option value=\"Singapore\"> Singapore <\/option>\n                      <option value=\"Slovakia\"> Slovakia <\/option>\n                      <option value=\"Slovenia\"> Slovenia <\/option>\n                      <option value=\"Solomon Islands\"> Solomon Islands <\/option>\n                      <option value=\"Somalia\"> Somalia <\/option>\n                      <option value=\"Somaliland\"> Somaliland <\/option>\n                      <option value=\"South Africa\"> South Africa <\/option>\n                      <option value=\"South Ossetia\"> South Ossetia <\/option>\n                      <option value=\"South Sudan\"> South Sudan <\/option>\n                      <option value=\"Spain\"> Spain <\/option>\n                      <option value=\"Sri Lanka\"> Sri Lanka <\/option>\n                      <option value=\"Sudan\"> Sudan <\/option>\n                      <option value=\"Suriname\"> Suriname <\/option>\n                      <option value=\"Svalbard\"> Svalbard <\/option>\n                      <option value=\"Swaziland\"> Swaziland <\/option>\n                      <option value=\"Sweden\"> Sweden <\/option>\n                      <option value=\"Switzerland\"> Switzerland <\/option>\n                      <option value=\"Syria\"> Syria <\/option>\n                      <option value=\"Taiwan\"> Taiwan <\/option>\n                      <option value=\"Tajikistan\"> Tajikistan <\/option>\n                      <option value=\"Tanzania\"> Tanzania <\/option>\n                      <option value=\"Thailand\"> Thailand <\/option>\n                      <option value=\"Timor-Leste\"> Timor-Leste <\/option>\n                      <option value=\"Togo\"> Togo <\/option>\n                      <option value=\"Tokelau\"> Tokelau <\/option>\n                      <option value=\"Tonga\"> Tonga <\/option>\n                      <option value=\"Transnistria Pridnestrovie\"> Transnistria Pridnestrovie <\/option>\n                      <option value=\"Trinidad and Tobago\"> Trinidad and Tobago <\/option>\n                      <option value=\"Tristan da Cunha\"> Tristan da Cunha <\/option>\n                      <option value=\"Tunisia\"> Tunisia <\/option>\n                      <option value=\"Turkey\"> Turkey <\/option>\n                      <option value=\"Turkmenistan\"> Turkmenistan <\/option>\n                      <option value=\"Turks and Caicos Islands\"> Turks and Caicos Islands <\/option>\n                      <option value=\"Tuvalu\"> Tuvalu <\/option>\n                      <option value=\"Uganda\"> Uganda <\/option>\n                      <option value=\"Ukraine\"> Ukraine <\/option>\n                      <option value=\"United Arab Emirates\"> United Arab Emirates <\/option>\n                      <option value=\"United Kingdom\"> United Kingdom <\/option>\n                      <option value=\"Uruguay\"> Uruguay <\/option>\n                      <option value=\"Uzbekistan\"> Uzbekistan <\/option>\n                      <option value=\"Vanuatu\"> Vanuatu <\/option>\n                      <option value=\"Vatican City\"> Vatican City <\/option>\n                      <option value=\"Venezuela\"> Venezuela <\/option>\n                      <option value=\"Vietnam\"> Vietnam <\/option>\n                      <option value=\"British Virgin Islands\"> British Virgin Islands <\/option>\n                      <option value=\"Isle of Man\"> Isle of Man <\/option>\n                      <option value=\"US Virgin Islands\"> US Virgin Islands <\/option>\n                      <option value=\"Wallis and Futuna\"> Wallis and Futuna <\/option>\n                      <option value=\"Western Sahara\"> Western Sahara <\/option>\n                      <option value=\"Yemen\"> Yemen <\/option>\n                      <option value=\"Zambia\"> Zambia <\/option>\n                      <option value=\"Zimbabwe\"> Zimbabwe <\/option>\n                      <option value=\"other\"> Other <\/option>\n                    <\/select>\n                    <label class=\"form-sub-label\" for=\"input_27_country\" id=\"sublabel_27_country\" style=\"min-height:13px;\"> Country <\/label>\n                  <\/span>\n                <\/td>\n              <\/tr>\n            <\/tbody>\n          <\/table>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_28\">\n        <label class=\"form-label form-label-top\" id=\"label_28\" for=\"input_28\"> What is your relationship to the child \/ children (for example: parent, guardian, teacher, social worker, aunt, uncle, brother, sister, etc): <\/label>\n        <div id=\"cid_28\" class=\"form-input-wide\">\n          <textarea id=\"input_28\" class=\"form-textarea\" name=\"q28_whatIs28\" cols=\"40\" rows=\"6\" data-component=\"textarea\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_29\">\n        <label class=\"form-label form-label-top\" id=\"label_29\" for=\"input_29\"> If possible, please tell us the child \/ children\u2019s views on the issues raised in the complaint: <\/label>\n        <div id=\"cid_29\" class=\"form-input-wide\">\n          <textarea id=\"input_29\" class=\"form-textarea\" name=\"q29_ifPossible\" cols=\"40\" rows=\"6\" data-component=\"textarea\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li id=\"cid_30\" class=\"form-input-wide\" data-type=\"control_pagebreak\">\n        <div class=\"form-pagebreak\" data-component=\"pagebreak\">\n          <div class=\"form-pagebreak-back-container\">\n            <button id=\"form-pagebreak-back_30\" type=\"button\" class=\"form-pagebreak-back \" data-component=\"pagebreak-back\">\n              Back\n            <\/button>\n          <\/div>\n          <div class=\"form-pagebreak-next-container\">\n            <button id=\"form-pagebreak-next_30\" type=\"button\" class=\"form-pagebreak-next \" data-component=\"pagebreak-next\">\n              Next\n            <\/button>\n          <\/div>\n          <div style=\"clear:both;\" class=\"pageInfo form-sub-label\" id=\"pageInfo_30\">\n          <\/div>\n        <\/div>\n      <\/li>\n    <\/ul>\n    <ul class=\"form-section page-section\" style=\"display:none;\">\n      <li id=\"cid_31\" class=\"form-input-wide\" data-type=\"control_head\">\n        <div class=\"form-header-group \">\n          <div class=\"header-text httal htvam\">\n            <h2 id=\"header_31\" class=\"form-header\" data-component=\"header\">\n              Stage 3: Details about your complaint\n            <\/h2>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_32\">\n        <label class=\"form-label form-label-top\" id=\"label_32\" for=\"input_32\"> What service in Ireland is your complaint about? (For example, name the school \/ hospital \/ local authority) <\/label>\n        <div id=\"cid_32\" class=\"form-input-wide\">\n          <textarea id=\"input_32\" class=\"form-textarea\" name=\"q32_whatService\" cols=\"40\" rows=\"6\" data-component=\"textarea\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_text\" id=\"id_33\">\n        <div id=\"cid_33\" class=\"form-input-wide\">\n          <div id=\"text_33\" class=\"form-html\" data-component=\"text\">\n            <p>OCO cannot examine the actions of some public organisations, which are listed in the Ombudsman (Amendment) Act 2012. (see link below)<\/p>\n            <p>If an organisation is providing a service for a public body or Government Department which is within our remit, then we may be able to investigate your complaint. If you are unsure about whether the organisation is within our remit, you can submit a complaint and our Team will assess whether it is a complaint for us.<\/p>\n            <p>Here is the link to the organisation which are outside our remit:\u00a0<a href=\"http:\/\/www.irishstatutebook.ie\/eli\/2012\/act\/38\/schedule\/enacted\/en\/html#sched-part2\" target=\"_blank\">www.irishstatutebook.ie\/eli\/2012\/act\/38\/schedule\/enacted\/en\/html#sched-part2<\/a><\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_34\">\n        <label class=\"form-label form-label-top\" id=\"label_34\" for=\"input_34\"> Tell us what the service has or has not done and why you think it is wrong: <\/label>\n        <div id=\"cid_34\" class=\"form-input-wide\">\n          <textarea id=\"input_34\" class=\"form-textarea\" name=\"q34_tellUs\" cols=\"40\" rows=\"6\" data-component=\"textarea\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_text\" id=\"id_35\">\n        <div id=\"cid_35\" class=\"form-input-wide\">\n          <div id=\"text_35\" class=\"form-html\" data-component=\"text\">\n            <p>The OCO can investigate certain types of actions. These are called \u2018administrative actions\u2019.<\/p>\n            <p>Some examples of administrative actions which we may investigate are:<\/p>\n            <ul>\n              <li>\n                delays in providing services,\n              <\/li>\n              <li>\n                refusals to award benefits or services,\n              <\/li>\n              <li>\n                failure to provide a promised service,\n              <\/li>\n              <li>\n                failure to follow approved procedures or policies,\n              <\/li>\n              <li>\n                failure to reply to correspondence,\n              <\/li>\n              <li>\n                communication difficulties,\n              <\/li>\n              <li>\n                giving misleading advice,\n              <\/li>\n              <li>\n                bad complaints procedures.\n              <\/li>\n            <\/ul>\n            <p>This means that there are many types of actions that you may wish to complain about that the OCO cannot investigate. Common examples of actions we cannot always investigate are:<\/p>\n            <ul>\n              <li>\n                proceedings and decisions made in court,\n              <\/li>\n              <li>\n                the conduct of individuals,\n              <\/li>\n              <li>\n                the professional or clinical judgment of professionals,\n              <\/li>\n              <li>\n                the results of tests or examinations,\n              <\/li>\n              <li>\n                decisions about budgets,\n              <\/li>\n              <li>\n                actions relating to the employment of an individual.\n              <\/li>\n            <\/ul>\n            <p>In your complaint form we would ask that you provide us as much detail about the administrative actions that you would like to complain about and why you feel that those actions were unfair, wrong, careless or negligent.<\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_36\">\n        <label class=\"form-label form-label-top\" id=\"label_36\" for=\"input_36\"> How has the action or inaction of the service affected the child \/ children involved? <\/label>\n        <div id=\"cid_36\" class=\"form-input-wide\">\n          <textarea id=\"input_36\" class=\"form-textarea\" name=\"q36_howHas\" cols=\"40\" rows=\"6\" data-component=\"textarea\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_37\">\n        <label class=\"form-label form-label-top\" id=\"label_37\" for=\"input_37\"> Tell us how the service dealt with your complaint. Please provide copies of any letters or emails you sent to the service and the response(s). <\/label>\n        <div id=\"cid_37\" class=\"form-input-wide\">\n          <textarea id=\"input_37\" class=\"form-textarea\" name=\"q37_tellUs37\" cols=\"40\" rows=\"6\" data-component=\"textarea\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_text\" id=\"id_38\">\n        <div id=\"cid_38\" class=\"form-input-wide\">\n          <div id=\"text_38\" class=\"form-html\" data-component=\"text\">\n            <p>It is important that you first try to resolve your complaint with the service you are unhappy with.<\/p>\n            <p>Before submitting a complaint to the OCO, you should make your complaint directly to the service in writing and follow the complaint process. If you are not sure about the steps involved in making a complaint, you can ask the service for a copy of the Complaints Policy \/ Procedure.<\/p>\n            <p>If you are still unhappy after receiving the response and after you have followed all of the steps, it may then be the right time to submit a complaint to the OCO.<\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_39\">\n        <label class=\"form-label form-label-top\" id=\"label_39\" for=\"input_39\"> What results would you like us to achieve for the child \/ children? <\/label>\n        <div id=\"cid_39\" class=\"form-input-wide\">\n          <textarea id=\"input_39\" class=\"form-textarea\" name=\"q39_whatResults\" cols=\"40\" rows=\"6\" data-component=\"textarea\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_text\" id=\"id_40\">\n        <div id=\"cid_40\" class=\"form-input-wide\">\n          <div id=\"text_40\" class=\"form-html\" data-component=\"text\">\n            <p>In order to assess our potential involvement in your complaint, we will first look at whether local redress is still available, or if a reasonable level of redress has already been offered at the local level. If this is the case, then further redress through our involvement may be deemed unnecessary.\u00a0<\/p>\n            <p>Then we need to determine that our involvement has a reasonable chance of achieving redress for the child at the centre of the complaint. This requires that a solution can be reached through recommendations to a public body to address the administrative practices at issue in your complaint.<\/p>\n            <p>In order to achieve redress, we would write to the public body to put the issues in your complaint to them, and to give them an opportunity to respond. Many complaints are resolved at this stage.<\/p>\n            <p>However, this Office may decide that further investigation is required. An investigation may include meetings with the people involved as well as looking at all of the correspondence. We will keep you informed of all of the steps we take and any decisions that we make.<\/p>\n            <p>Certain types of redress are not achievable through our intervention. These include the disciplining of an individual professional due to alleged misconduct; complaints relating to incidents which occurred more than two years previously; and any complaints where effective redress has already been achieved for the child, or is otherwise unachievable at this time.<\/p>\n            <p>When we ask a public body to fix a problem for a child or to provide resolution, any such recommendations are not binding or enforceable. However, in most cases we find that the public body will take note of what we recommend and take action accordingly.<\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_41\">\n        <label class=\"form-label form-label-top\" id=\"label_41\" for=\"input_41\"> Have you contacted any other service about your complaint (for example, a professional regulator or a tribunal) or have you taken any legal action? <\/label>\n        <div id=\"cid_41\" class=\"form-input-wide\">\n          <textarea id=\"input_41\" class=\"form-textarea\" name=\"q41_haveYou\" cols=\"40\" rows=\"6\" data-component=\"textarea\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_text\" id=\"id_42\">\n        <div id=\"cid_42\" class=\"form-input-wide\">\n          <div id=\"text_42\" class=\"form-html\" data-component=\"text\">\n            <p>We need to know this information as sometimes people make complaints to a number of organisations, as well as bringing it to the OCO. It may be the case that we would not look into a complaint if another organisation is also examining the issue. Sometimes other organisations are in a better position to look into a situation and so it is important that you tell us where you have brought your complaint. We may decide that we are not the right organisation for your complaint at this time.<\/p>\n            <p>Also, if you have brought your complaint to court, we will not be able to able to investigate it.<\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_43\">\n        <label class=\"form-label form-label-top\" id=\"label_43\" for=\"input_43\"> If you have any more information you would like to tell us about, please let us know here: <\/label>\n        <div id=\"cid_43\" class=\"form-input-wide\">\n          <textarea id=\"input_43\" class=\"form-textarea\" name=\"q43_ifYou\" cols=\"40\" rows=\"6\" data-component=\"textarea\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_fileupload\" id=\"id_49\">\n        <label class=\"form-label form-label-top\" id=\"label_49\" for=\"input_49\"> Attach Up to 5 Files <\/label>\n        <div id=\"cid_49\" class=\"form-input-wide\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <div class=\"qq-uploader-buttonText-value\">\n                Upload a File\n              <\/div>\n              <input type=\"file\" id=\"input_49\" name=\"q49_attachFiles[]\" multiple=\"\" class=\"form-upload-multiple\" data-imagevalidate=\"yes\" data-file-accept=\"pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif\" data-file-maxsize=\"1024\" data-file-minsize=\"0\" data-file-limit=\"5\" data-component=\"fileupload\" \/>\n              <label class=\"form-sub-label\" for=\"input_49\" style=\"min-height:13px;\"> Maximum File Size For each is 100mb <\/label>\n            <\/span>\n            <span style=\"display:none;\" class=\"cancelText\">\n              Cancel\n            <\/span>\n            <span style=\"display:none;\" class=\"ofText\">\n              of\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_text\" id=\"id_44\">\n        <div id=\"cid_44\" class=\"form-input-wide\">\n          <div id=\"text_44\" class=\"form-html\" data-component=\"text\">\n            <p>Please send copies of any letters, emails or other documents that you think will help us to understand your concerns.<\/p>\n            <p><strong>What happens next?<\/strong><\/p>\n            <p>We will contact you to let you know if we can look at your complaint. We may also contact the service(s) involved by phone, email or in writing. Please let us know if you do not want us to send personal details by email.<\/p>\n            <p>If you have any questions, ring the Complaints and Investigations Team at FREEFONE 1800 20 20 40 or email us at <a href=\"mailto:ococomplaint@oco.ie\">ococomplaint@oco.ie<\/a>.<\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_button\" id=\"id_45\">\n        <div id=\"cid_45\" class=\"form-input-wide\">\n          <div style=\"margin-left:156px;\" class=\"form-buttons-wrapper\">\n            <button id=\"input_45\" type=\"submit\" class=\"form-submit-button icon-encrypt\" data-component=\"button\">\n              Submit\n            <\/button>\n            <span>\n              \u00a0\n            <\/span>\n            <button id=\"input_print_45\" style=\"margin-left:25px;\" type=\"button\" class=\"form-submit-print icon-encrypt\" data-component=\"button\">\n              <img src=\"https:\/\/cdn.jotfor.ms\/images\/printer.png\" style=\"vertical-align:middle;\" \/>\n              <span id=\"span_print_45\" class=\"span_print\">\n                Print Form\n              <\/span>\n            <\/button>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li style=\"display:none\">\n        Should be Empty:\n        <input type=\"text\" name=\"website\" value=\"\" \/>\n      <\/li>\n    <\/ul>\n  <\/div>\n  <script>\n  JotForm.showJotFormPowered = \"old_footer\";\n  <\/script>\n  <input type=\"hidden\" id=\"simple_spc\" name=\"simple_spc\" value=\"63114774122348\" \/>\n  <script type=\"text\/javascript\">\n  document.getElementById(\"si\" + \"mple\" + \"_spc\").value = \"63114774122348-63114774122348\";\n  <\/script>\n  <input type=\"hidden\" id=\"input_51\" name=\"q51_refNumber\" class=\"form-hidden\" value=\"176\" data-component=\"autoincrement\" \/>\n<\/form><\/body>\n<\/html>\n<script type=\"text\/javascript\">JotForm.forwardToEu=true;<\/script>","OCO Complaint Form - encrypted");(function(){window.handleIFrameMessage=function(e){var args=e.data.split(":");var iframe=document.getElementById("63114774122348");if(!iframe){return};switch(args[0]){case"scrollIntoView":if(!("nojump"in FrameBuilder.get)){iframe.scrollIntoView();}
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