Formal Complaints Form

Complaint Information

First Name

Last Name

Address

City

Province

Postal Code

Contact Number
Email Address

Note: Please notify the Office of the Regional Clerk, 10 Peel Centre Drive Suite A, 5th Floor, Brampton, On L6T 4B9, immediately if your contact information changes.

Contact Considerations
The Region of Peel's office hours are Monday to Friday, 8:30am to 4:30pm What is the best time to contact you?

Complaint Details

Date of Incident

Time of Incident

Location of Incident

Summary of Complaint
Please record information about what happened, who was involved, what actions occurred, dates and times. Be as detailed as possible. Is there any physical or documentary evidence to support your claim? If Yes, please attach.
Yes No

Complaints filed 90 business days or more after the date of the occurrence may not be accepted, unless the Region determines circumstances exist to reasonably justify the extension.

Notice with Respect to the Collection of Personal Information

Personal information on this form is collected under the authority of the Municipal Act, 2001, as amended, and will be used to investigate the formal complaint and may be used for contact purposes. Questions about the collection of personal information should be directed to the Regional Clerk and Director of Clerk's, 10 Peel Centre Drive, Suite A, 5th Floor, Brampton, Ontario L6T 4B9, (905) 791-7800 ext. 4325.

Revised:Friday February 17 2023

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