Non-Maltreatment Complaint Submission Form

Be specific and concise in your submission. Vague descriptions may only slow the process down as time will need to be spent clarifying details.

Respondent / Complainant

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First name *

Last name *

Email *

Mobile *

Name of the party that you are making a complaint against

First name *

Last name *

Role they play *

Indicate what has specifically been breached / violated and how *

Name the bylaw, policy or rule

Indicate what has specifically been breached / violated and how

What evidence / supporting material do you have that proves the breach? *

Select any and all that apply.

You will be asked to provide the evidence within the form.

Select all Clear all

What evidence / supporting material do you have that proves the breach? Photo(s) Video(s) Document(s) (example: emails) Contacts (Witnesses or those with relevant information) None

Please upload the photographic evidence / supporting material that proves the breach *

Approved file format: jpeg

Please upload the video evidence / supporting material that proves the breach *

Please upload the document evidence / supporting material that proves the breach *

Approved file format: Excel, Word, PowerPoint, PDF

Provide contacts names and contact information (if available)

Contacts = Witnesses or those with relevant information

First name *

Last name *

Mobile

What is your suggested remedy? *

What outcome would you like to see.

What is your suggested remedy?

I am open to Alternate Dispute Resolution (ADR) *

ADR is the use of methods such as mediation, negotiation, or facilitated conversations by a neutral third party to resolve a dispute or complaint without resorting to arbitration.

Yes No Maybe x Clear

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