Step 3: Intake Form

What is Your Complaint About(Required)

What is the name of the public body, trustee or organization you want to complain about?

What is your complaint about?(Required)

I asked for information from a public body and didn’t get it, or I was denied access.

I think my personal or health information was not handled properly, or I want my personal information corrected.

I feel a public body treated me unfairly or did not follow policy or law

I want to report wrongdoing happening at my public sector job.

I believe I was punished for reporting or asking about wrongdoing at my public sector job.

I’m not sure which category my complaint fits into, or it doesn’t fit any of the above.

What happened?(Required)

What did the organization do?

Who was involved?(Required)

Include names and contact details if you can

When did this happen?

Give an approximate date if you can

What impact has it made?

Impact may include financial, health, living conditions, etc.

How do you think we can help?

Is this matter urgent?(Required)

Yes

No

Can you explain why this matter is urgent?(Required)

example: is there is a deadline or a critical date/immediate life impact

Do you have any documents that might help us better understand your complaint?(Required)

This may include an email or letter you sent to the public body, trustee or organization to complain and any response you received (including decisions). If you have photos or diagrams related to your complaint, you can share those. This information and these documents are evidence to support your complaint. There will be other opportunities to provide documents if you proceed with a formal complaint.

Yes

No

Please attach related documents

Max. file size: 5 MB.

Are you making this complaint on behalf of yourself?(Required)

Yes

No

What is your first and last name?(Required)

First Name Last Name

What is your preferred method of contact?(Required)

Email

Phone

Mailing Address

Email(Required)

Phone(Required)

Address

Street Address Address Line 2 City Province Postal Code

CAPTCHA

Complaint Checker

Step 3: Intake Form