Appeals and Complaints Submission Form Appeal & Complaint Submission Form Please fill in as much detail as possible. A Manager will acknowledge receipt of this form within 7 business days.Person Filling out the FormName* First Last Email* Enter Email Confirm Email Home Phone*Daytime Phone NumberPlease include a number you can be reached at during the day.Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Role with Special Olympics Ontario* I am filling out the Appeals/Complaint form on behalf of:* Myself Someone else Person lodging the Appeal/ComplaintIf you are filling out this form on behalf of someone else please provide their contact information in this section. Name* First Last Email Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Role with Special Olympics Ontario Appeal/Complaint InformationPlease use this section to provide as much information as possible regarding the Appeal/ComplaintDistrict*Central OntarioEastern OntarioGreater Toronto AreaNorth EastNorth WestSouth CentralSouth WestCommunity*BarrieCentral BruceCollingwood & AreaDufferinHaliburtonHuntsvilleHuroniaKawartha LakesKincardine & AreaMeaford - ThornburyMuskokaOrilliaOwen Sound & AreaPeterboroughSouth SaugeenSouth SimcoeWingham & LucknowCommunity*ArnpriorBelleville - Quinte WestBrockville and AreaKingstonLennox & AddingtonNorthumberlandOttawaPembrokePerthRenfrewSmiths FallsCommunity*AuroraBramptonCaledonGreater DurhamMississaugaNewmarket & AreaTorontoVaughanYork SouthCommunity*Almaguin HighlandsAzildaElliot LakeEspanolaHearstKapuskasingManitoulin IslandNew LiskeardNorth BayParry SoundSault Ste. MarieSudburySudbury EastTimminsValley EastWest NipissingCommunity*AtikokanDrydenFort FrancesKenoraMarathonRed LakeTerrace BayThunder BayCommunity*BurlingtonCambridgeDundasFort ErieGuelphHaldimand CountyHalton HillsHamiltonKitchener-WaterlooMiltonNew HamburgNorth WellingtonOakvillePort ColborneSt. CatharinesWelland - PelhamWest NiagaraCommunity*BrantfordChatham-KentGoderichI.C.H.AIngersollLaSalle - WindsorLeamington/EssexLondonSarniaSimcoeSt. ThomasStratford and AreaTillsonburgWoodstockWoolwich (Elmira)Appeal/Complaint Type*Unknown/UnsureDisciplinary AppealSport or Competition AppealProvincial or National Games SelectionAthlete ComplaintCoaching ComplaintFan ComplaintStaff ComplaintVolunteer ComplaintDonor/Sponsor ComplaintOtherWhat is the nature of your appeal or complaint?Appeal/Complaint Subject*Please describe the Team/ Program/ Competition/ Community or Individual this complaint concernsAppeal/Complaint*Please provide detailed information regarding your appeal or complaintSupporting Document 1 Drop files here or Select files Max. file size: 512 MB. Supporting Document 2 Drop files here or Select files Max. file size: 512 MB. * I understand that the information contained in this form is subject to review by Special Olympics Ontario staff and/or an Appeal Committee. I agree to abide by the decisions that are communicated to me and acknowledge that clarification of all or part of this appeal or complaint may be requested at any time. * I agree to abide by the Special Olympics Canada Inc. and Special Olympics Ontario Inc. rules, policies and procedures and Code of Conduct. * I affirm that the information I have given is true and complete.Sign your name here to verify your understanding of the above statements*
