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Complaint or Compliment Submission Form

First name

Last name

Address

City/Town

Province

Phone Number

Email Address

Would you like a meeting with the appropriate Director to further discuss the complaint?

Yes

What method of communication would you prefer?

Phone

Please outline the complaint or compliment in the space provided below. Include any relevant dates, times, locations, and background information which may be relevant. Also include any municipal employees who you have spoken to regarding this complaint. Attach additional pages as needed.

Outline your complaint or compliment here

Personal information on this form is collected and retained under the authority of the municipal freedom of information & protection of privacy act.

Staff to fill out the following:
Date Received:	File No.