Complaint Form

Complaint Form
Please complete the below form to make a complaint.

You can also email your complaint to the ICoCA Secretariat at secretariat@icoca.ch
INFORMATION ABOUT THE COMPLAINANT
1. Are you submitting this form:*

1.1 As an identified Complainant?1.2 On behalf of one or more identified Complainant(s)?1.3 Anonymously?
1.3.1 You are submitting this complaint anonymously, please explain the reasons why.
1.3.2 Please provide sufficient information for the Association to understand the relationship of the Complainant to the subject of the complaint (e.g. “local landowner” or “former employee”). *
2. Please let us know how we can contact you (phone, e-mail or other)*
INFORMATION ABOUT THE COMPANY
3. Name/Description of the Member Company that is accused of harming the Complainant.*
If the name of the Company is not known, please provide other identifying information that will allow the Association to attempt to identify the Company and determine whether it is a Member of the Association. Other identifying information might include photographs, vehicle markings, logo, or other symbols.
INFORMATION ABOUT THE INCIDENT/S

4. Please tell us what happened
What happened (please include an explanation of the alleged Code violation)*
When (Date/Time)?*
Where (Place)? *
Witnesses (If possible indicate name and your relationship to the witness)
Attach relevant documents

Cancelof
YOUR CONFIRMATION
I hereby declare that I have reviewed the complaint and that all of the information provided are reflective of the facts to the best of my knowledge*

Please check this box if you agree
Should be Empty:

Complaint Form

INFORMATION ABOUT THE COMPLAINANT

INFORMATION ABOUT THE COMPANY

INFORMATION ABOUT THE INCIDENT/S

YOUR CONFIRMATION