Manitoba Horse Council - Complaint form

Complaint form

Please note the following:
1) Substantiated allegations will be considered for sanctions ranging in severity.
2)Complete confidentiality of the complaint process cannot be guaranteed. The contents of this document may be shared in an effort to resolve this complaint. By completing the form, you agree that the MHC Complaint Manager may share some or all of this information in the process of resolving the complaint.

First name *

Last name *

Email *

Mobile *

Person making the complaint *

Name of individual against whom you are complaining:

First name *

Last name *

Email

Mobile

Person on whose behalf the complaint is made (to be completed if different from above)

To be completed if different from above

First name

Last name

Email

Mobile

Date of birth

Date of incident *

When and where did the incident occur *

Please indicate the grounds that best describes your complaint

A. Harassment-type of behaviour (Check All That Apply)

Conduct Gestures Comments

A. Harassment-based on (Check All That Apply)

Race Ethnicity Disability Religion Sexual orientation Sex/Gender Marital Status Family Status Pardoned conviction

B. Abuse-Type of Behaviour (Check All That Apply)

Physical Emotional Sexual Neglect

C. Bullying-Type of Behaviour (Check All That Apply)

Physical Verbal Relational Reactive

D. Misconduct (please explain)

Particulars Provide a summary of the incidents you are complaining about.

You may attach any additional documents that you feel will help clarify the basis for your complaint. Your summary must answer the following questions, but is not limited to these questions. Who was present at the time that the incidents occurred? This includes participants to the incident(s) as well as witnesses. Provide names and any contact information. Provide a succinct summary of the incident(s) in your own words. How do the incident(s) relate to the ground(s) you selected above? What are the remedies or resolutions that you are seeking?