Individual Making the complaint
Example: ###-###-####
Example: [email protected]
Individual on whose behalf the complaint is made (to be completed if different from above.)
Name of individual(s) against whom you are complaining. (if not known to you then please provide a description of the individual and the role he or she played during the incident.
(or colour of jersey)
Please provide the following details with respect to your complaint.
if incident(s) occured within a facility, the location where incident took place. eg dressing room, hallway, location on ice, in the stands. Any additional detail would be helpful.
Please Provide a descriptive summary of the incident(s) leading to this complaint.
Please Provide the Names and contact information of anyone who was a witness to the incident(s) you have described above