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 Form

Name*

First Last

Email*

Enter Email Confirm Email

Home Phone*

Daytime Phone Number

Please include a number you can be reached at during the day.

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Role with Special Olympics Ontario*

I am filling out the Appeals/Complaint form on behalf of:*

Myself
Someone else

Person lodging the Appeal/Complaint

If 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 Country

Role with Special Olympics Ontario

Appeal/Complaint Information

Please use this section to provide as much information as possible regarding the Appeal/Complaint

District*

Community*

Appeal/Complaint Type*

What is the nature of your appeal or complaint?

Appeal/Complaint Subject*

Please describe the Team/ Program/ Competition/ Community or Individual this complaint concerns

Appeal/Complaint*

Please provide detailed information regarding your appeal or complaint

Supporting Document 1

Drop files here or

Supporting Document 2

Drop files here or

* 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*