Online Complaint Form

All required fields are indicated with a *.

Details of the problem
Would you like to receive a copy of this complaint by email?
Are you submitting the complaint on behalf of someone else?

Please indicate the department which you would like to direct your complaint to?*  
Please indicate how you would like us to contact you regarding your complaint?*  

Please indicate the nature of the complaint. (include information such as names of staff member(s) involved, location, date and time of incident/issue and other detailed information relevant to your complaint)*  

Please describe how you would like to see your complaint resolved.*  
Contact Information
First name:*  
Last name:*  
Address number and street name:
Phone number:*  
Extension:
Alternate phone number:
Alternate extension:
Email address: *  
Disclaimer

Personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c.M.56, as amended. Questions about the collection of personal information should be directed to the Regional Clerk/Director of Legislative Services, 605 Rossland Road East, P.O. Box 623, Whitby, Ontario L1N 6A3, (905) 668-7711 or 1-800-372-1102.


 
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