Formal Written Complaint (Kawartha Minor Hockey)

Formal Written Complaint

This form is to be used by KHMA members for the purpose of submitting a formal written complaint regarding the behaviour and/or actions of another KMHA member. Upon completing this form, your complaint will automatically be submitted for review to the Abuse and Harassment Director. A copy of your complaint will be emailed to you at the address you provide below. You will be contacted within 72hrs of submitting this complaint.

Please use the below links for reference.

Resources:

Link to Constitution

Link to Manual of Operations

Link to Code of Conduct

Link to Social Media Policy

Complainant Information

Please provide YOUR contact information below.

First Name^*

Required

Complainant First Name

Last Name^*

Required

Complainant Last Name

Email Address^*

Required

Example: [email protected]. Your submission will be sent to this address.

Phone #^*

Required

Example: ###-###-####

The Complaint

Who are you complaining about?^*

Required

What is the name of the person you have a complaint about?^*

Required

What team does the complaint involve? If any.

If complaint is about a coach, parent, player, bench staff. What team are they associated with?

Please describe the situation in clear, simple terms.^*

Required

When did this occur?^*

Required

Provide date and time

Where did this occur?^*

Required

i.e. Arena, during a game, dressing room, stands

Who was involved?^*

Required

(i.e. players, parents, referees)

Resolution

Has an attempt been made to resolve the issue?^*

YesNo

Required

Provide any actions taken and outcome.

What do you think is a reasonable resolution to this issue?^*

Required

I acknowledge that the statements made herein, to the best of my knowledge, are accurate, complete and truthful.

I agree.^*

Formal Written Complaint (Kawartha Minor Hockey)

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Complainant Information

The Complaint

Resolution

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