INCIDENT/COMPLAINT FORM (Brantford Community Hockey League)

INCIDENT/COMPLAINT FORM

To lodge a formal complaint, please use the form below. Please review the page "BCHL Complaint Policy" prior to completing this form. Brantford Community Hockey League cannot guarantee complete confidentiality and the contents of this document may be shared to resolve the complaint. Submissions found not in compliance with or missing steps from that process may be dismissed. Please do not send emails in addition to this form.

INFORMATION OF PARTIES INVOLVED

Person making complaint^*

Required

role of complainant

Select the team that complainant is affiliated with.^*

Required

Name of Complainant^*

Required

Please enter the name of the person logging the complaint

Phone Number of Complainant

Enter phone number

Person on whose behalf complaint is made.^*

Required

If different than above. ( Eg. Parent on behalf of child)

Name and Title/Role of person complaint is about.^*

Required

Name of individual or Association

INCIDENT/COMPLAINT DETAILS

Please include as much detail and specific facts as possible.

Date and Time of Incident^*

Required

If multiple incidents, please choose the most recent and include details of other incidents in comments section below

Details of Incident^*

Required

Please provide as much detail as possible regarding the incident(s) and any other relevant facts.

Please upload any supporting documents or files regarding the incident.^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx.
Maximum # Files: 1. Maximum File Size: 4MB.

Attach any relevant files

Resolution Options^*

Required

In your opinion, what resolutions are you seeking that would help solve the issue and allow all parties to move forward?

Other pertinent information

STEPS TAKEN TO RESOLVE THE ISSUE

Name of Division Director/Team Manager^*

Required

For Select, enter team manager name, for House League, enter Director's name.

Was Director/Manager contacted regarding the incident prior to completing this form?^*

YESNO

Required

Steps taken to resolve the issue(s).^*

Required

Please provide a summary of any and all steps that were taken to resolve the issue(s).

INCIDENT/COMPLAINT FORM (Brantford Community Hockey League)

ALLIANCE HOCKEY Digital Network

INFORMATION OF PARTIES INVOLVED

INCIDENT/COMPLAINT DETAILS

STEPS TAKEN TO RESOLVE THE ISSUE

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