Formal Complaint Form (Brantford Minor Hockey Association)

Formal Complaint Form

To lodge a formal complaint please use the form below. Please read the page "BMHA Complaint Process" prior to completing this form. Submissions found not in compliance with or missing steps from that process may be summarily dismissed without a response. Please do not send emails in addition to this form.

Information on the Parties Involved

Select Team^*

Required

Name of Complainant^*

Required

Please enter the name of the person logging the complaint.

Email for Complainant^*

Required

Please enter a valid email address.

Phone Number for Complainant (optional)

Enter a phone number for the complainant.

Person Complaint is About.^*

Required

If a coach complaint, enter his/her name here.

Incident/Complaint Detail

Please include as many specific facts and details as possible.

Date and Approximate Time of Incident^*

Required

If multiple incidents choose the most recent.

Details of Incident^*

Required

Provide a summary of ALL the details of the issue/incident and any other relevant facts. Please include the name of the relevant player.

Resolution Options^*

Required

In your opinion, what reasonable steps could be taken that would substantially solve the issue and allow all parties to move forward?

Other Pertinent Information

Attachments

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx.
Maximum # Files: 5. Maximum File Size: 4MB.

Attach any relevant documents or files related to the incident.

Steps Taken to Resolve the Issue

Name of Parent Rep / Convenor^*

Required

For Rep teams enter the Parent Reps name. For House League, enter the Convenor's name.

Was Parent Rep / Convenor Contacted?^*

NoYes

Required

Date that Parent Rep / Convenor Was Contacted?

Enter the date that the Parent Rep / Convenor was contacted.

Steps Taken to Resolve Issue^*

Required

Provide a summary of any and all steps that were taken to resolve the issue.

Formal Complaint Form (Brantford Minor Hockey Association)

ALLIANCE HOCKEY Digital Network

Information on the Parties Involved

Incident/Complaint Detail

Steps Taken to Resolve the Issue

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