HomeMy Public PortalAboutCode of Conduct Complaint Form.pdfCouncil Code of Conduct
Complaint Form
Person(s) Submitting Complaint
Name:
Address:
City/Town:
Province: Postal code: Telephone:
Email:
Member(s) to Whom the Complaint Pertains
Name of member(s):
Details of Complaint:
I have reasonable and probable ground to believe that the following section or sections of the Code of Conduct have
been contravened by the above noted Member(s) (please review the Code of Conduct and describe the section(s)
that apply):
Contravened section
Describe what facts support your complaint. (Attach additional pages and/or documents if needed).
Details of the alleged violation (e.g. what was observed, who was involved, what was said or happened)
When and where did this situation happen (e.g. dates, times, and locations)?
What was happening before the situation occurred?
Did anyone respond or react to the situation (who responded, what did they say or do)?
Identify any evidence, if applicable.
Date:
Signature: