Complaint_Rep Hockey (Halton Hills Minor Hockey)

Complaint_Rep Hockey

Complaint form for Rep Hockey, Halton Hills Minor Hockey.

Please fill out the following form. It will be sent to directly to the Rep Hockey Executive.

NOTE: Anonymous complaints will not be answered. (i.e. alias names or invalid emails)

By checking the box, you certify that all of the information below is to the best of my knowledge and believe true, correct and complete.

I agree to the terms and conditions stated above^*

Date

Date^*

Required

Complainant Information

Please provide all the information requested below

Name of Person making the Complaint (Complainant)^*

Required

Home Address^*

Required

Telephone (Day)^*

Required

Example: ###-###-####

Telephone (Evening)^*

Required

Example: ###-###-####

Email Address^*

Required

[email protected] Your submission copy will be sent here and any correspondence via email will be to this email

Role of Complainant (please choose one)^*

Required

Respondent Information

Person Complaint being filed against (Respondent)^*

Required

Telephone (mobile)

Example: ###-###-####

Email Address

Example: [email protected]

Role of Respondent (please choose one)^*

Required

Nature of Complaint

What is the Nature of the Complaint^*

Required

Date of Incident(s)^*

Required

Please describe the complaint, identifying the facts and issues against the Respondent. Try to be brief in answering who what where and how you were treated differently from others (if at all?)^*

Required

Have attempts been made to resolve the complaint between the parties involved? Please specify Yes or No below.^*

Required

Attach any relevant information/files

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 1. Maximum File Size: 4MB.

jpg, pdf, word, xls, ppt

Resolution

What would you consider as a equitable resolution to this complaint?^*

Required

Complaint_Rep Hockey (Halton Hills Minor Hockey)

OMHA Digital Network

Date

Complainant Information

Respondent Information

Nature of Complaint

Resolution

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