Code of Conduct Complaint Form

Name of Person Submitting Complaint:

Mailing Address:

Phone Number:

Email:

Council Member to Whom the Complaint Pertains:

Complaint under the Code of Conduct:
I have reasonable and probable grounds to believe that the following section or sections of the Town's Code of Conduct have been contravened by the above-noted Council or Local Board Member :

Describe below what facts support your complaint. In the statement, number each assertion of fact - e.g.1. The Council Member did X on date Y.:

Attach any documents which support your claim. List documents and supporting evidence and mark them as Exhibit A, Exhibit B and so on.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

By typing my name here, I confirm that the information I've provided on this form is truthful and accurate:

NOTICE: Providing false information may result in prosecution under the Criminal Code.

Note: Personal information required on this form is collected under the authority of the Municipal Act, 2001, S.O. 2001, c.25 as amended and will be used for purposes of evaluating this complaint and pursuing an inquiry or investigation as appropriate under the Code of Conduct.

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