Complaint Form

Information about the Complainant

1. Are you submitting this form:

1.1 As an identified Complainant?
1.2 On behalf of one or more identified Complainant(s)?
1.3 Anonymously?

1.2.1 If you are submitting the complaint on behalf of one or more identified Complainant(s), please explain your relationship to the Complainant(s).

1.2.2 If you are submitting the complaint on behalf of one or more identified Complainant(s), please provide sufficient information for the Association to understand the relationship of the Complainant to the subject of the complaint (e.g. “local landowner” or “former employee”).

1.3.1 If you are submitting this complaint anonymously, please explain the reasons why.

1.3.2 Please provide sufficient information for the Association to understand the relationship of the Complainant to the subject of the complaint (e.g. “local landowner” or “former employee”).

2. Your details *

First

Last

Your E-Mail address

Is there other contact information you wish to share with us (phone or other)?

2. Please let us know how we can contact you (phone, e-mail or other)

Information about the Company

3. Name/Description of the Member Company that is accused of harming the Complainant.

If the name of the Company is not known, please provide other identifying information that will allow the Association to attempt to identify the Company and determine whether it is a Member of the Association. Other identifying information might include photographs, vehicle markings, logo, or other symbols.

Information about incident(s)

4. Please tell us what happened

What happened (please include an explanation of the alleged Code violation)

When (Date/Time)?

Where (Place)?

Witnesses (If possible indicate name and your relationship to the witness)

Your confirmation

I hereby declare that I have reviewed the complaint and that all of the information provided in this form is true and accurate in all respects and for all the persons concerned.

Agreement *

Please tick this box if you agree

Downloadable Complaints Form

Files

Contact Information

Information about the Complainant

Information about the Company

Information about incident(s)

Your confirmation