Complaint Record Form

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Complaint Record Form

Details of person making the complaint
Note: This form can be completed electronically or by hand.

    Recipient Details

    Name of Person Receiving Complaint
    Position
    Does the person making the complaint wish to remain anonymous?
    Name of Person Making Complaint
    Category of person making complaint:
    Preferred method of contact:
    Phone
    Email
    Postal Address

    Participant Details


    (if participant is not the person making the complaint)
    Name of Participant Complaint is Regarding
    Is the Participant an Existing Client

    (Note: To be eligible for employment, applicants must have the appropriate work visa or have permanent residency status. A copy of a current work visa is required)

    Complaint Details


    (if participant is not the person making the complaint)
    Description of Complaint
    What is Considered Appropriate Resolution by the Person Making the Complaint?
    Current Status of Complaint
    Unresolved What Actions have been proposed? Or if resolved, how was it resolved?