Complainant Information
I am a
Respondent Information
The respondent is a
The respondent is the individual in which the complaint is made against. If the complaint has more than one Respondent, please complete a separate complaint form for each.
Description of Allegations
Please include: who was involved; what was specifically said or done (words, tone, actions, etc.); when it happened (dates and times); where it happened; any witnesses to the incident(s) described (names and contact information, if possible); how the incident(s) impacted you; and if the incident(s) was reported to management (please provide details: who, when, what action was taken, etc.).
Summary Information
Statement of Acknowledgement
Submit
By checking this box and hitting 'Submit', you certify the information provided in this complaint to be accurate, true and complete to the best of your knowledge.
I certify the information provided in this complaint to be accurate, true and complete to the best of my knowledge. I understand that I will not be subject to any adverse treatment as a result of making this complaint, provided that it has been made in good faith and without malice. I acknowledge that, in order to preserve the integrity of the process and to protect the interests of all parties, I will maintain confidentiality and will not discuss this complaint with anyone other than those who need to know (i.e. union representative, Equity and Human Rights Advisor, investigators, legal counsel, health care providers, EAP, counsellors, and/or management representatives). I understand that the College will maintain confidentiality of any information gathered as a result of this complaint, but will share such information as necessary to pursue resolution, including disclosing the complaint and related information to the Respondent or as otherwise required by law. I acknowledge that filing this complaint does not prevent me from pursuing any other remedies that may be available (e.g. grievance, Human Rights complaint, legal action, etc.), which are separate and distinct from the Policy. I acknowledge that it is not the role of the Equity and Human Rights Advisor to identify any remedies or procedures that are or may be available outside the Policy and that I am solely responsible for exploring such options should I choose to do so.