NDMHA Complaint Submission Form (North Durham Minor Hockey)

NDMHA Complaint Submission Form

Please note the following: 1) NDMHA cannot guarantee complete confidentiality. The contents of this document may be shared in an effort to resolve the complaint here within. By completing the form, you agree that NDMHA may share some or all of this information in the process of resolving the complaint. 2)Complaints will be addressed according to severity, resources and safety for participants 3) All complaints must accompany the NDMHA "Complaint Submission Form" prior to review Please note complaints are forwarded to our NDMHA Ombudsman and not to the board directly.

PLEASE COMPLETE THE FOLLOWING

Person making the complaint

First/Last Name^*

Required

Please indicate if you are a player, parent, volunteer, official or employee^*

Required

Primary Phone Number^*

Required

Mailing Address^*

Required

Email Address^*

Required

Person on whose behalf the complaint is being made^*

Required

If different from above

Name of the Person(s) against whom you are complaining^*

Required

Title of Role within NDMHA^*

Required

When did the incident occur?^*

Required

Please check the ground(s) that best describe your complaint:^*

Required

Harassment, Abuse, Bullying, Misconduct, Other

Particulars: please provide a summary of the incident^*

Required

Should include, date, location, persons involved, description of what happened

NDMHA Complaint Submission Form (North Durham Minor Hockey)

OMHA Digital Network

PLEASE COMPLETE THE FOLLOWING

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