FSMH FORMAL COMPLAINT FORM

FSMH FORMAL COMPLAINT FORM

This form is to submit a formal complaint against an individual involved with Fort Minor Hockey. Before a formal complaint is filed the individuals should attempt to resolve the complaint at the team level by utilizing the following sections of the problem-solving protocol listed in the FSMH policy and procedures
MEMBER/TEAM SUBMITTING THE COMPLAINT
The member submitting the complaint:*

Parent/GuardianTeam LiaisonLevel DirectorTeam ManagerCoachFSMH Board MemberOther
If other please describe:
Team name if relevant
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Anonymous complaints will not be accepted - your information will be kept confidential after filing the complaint.
MEMBER/TEAM ALLEGATION IS BEING MADE AGAINST
Position:*

PlayerParent/GuardianCoaching StaffParent LiaisonRef/OfficialFSMH Board MemberTeamOther
If other please describe:
Name

First NameLast Name
Team name if relevant
DETAILS OF INCIDENT
Date of incident*

MonthDayYear
Date
Location of incident:*
Details of Complaint:*
Has this issue been brought to the team (Parent) liaison or dealt with on a team level previously?*

YesNo
If yes please describe the actions taken at the team level:
If you have any documents that you would like to attach to this complaint please upload here:

Cancelof
Signature

Clear
Date

MonthDayYear
Date
Should be Empty: