Township of Nipigon - Formal Complaint Form
The Township of Nipigon recognizes the importance of public input and views formal complaints as a valuable source of feedback. All formal complaints will be addressed promptly, courteously, impartially, and if the complaint involves the Chief Administrative Officer (CAO) or the Clerk, the Mayor will investigate and Complaints must be filed within seven (7) days of the incident. Once received, the Clerk's Department will contact the complainant within two (2) business days. The complaint will be forwarded to the appropriate department head, who will respond within five (5) business days. A final written decision will be communicated to the complainant.
Date
*
-
Month
-
Day
Year
Date
Related Department or Service
*
Please Select
Administration
By-Law Enforcement
Building & Planning
Public Works & Utilities
Water & Sewer
Fire Department
Recreation & Community Centre
Marina
Museum
Edge Arts
Economic Development
Other
Please specify if 'Other' was selected.
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Are you a:
*
Please Select
Resident
Business Owner
Visitor/Tourist
Contractor
Other
Please specify if 'Other' was selected.
Date of Incident
*
-
Month
-
Day
Year
Date
Time of Incident
Hour Minutes
AM
PM
AM/PM Option
How was your communication or interaction made?
*
Please Select
In-person visit
Telephone
Email
Letter
Public Meeting
Site Visit
Other
Please specify if 'Other' was selected.
Complaint Description:
*
Please provide a clear and detailed explanation of the issue or concern.
Steps Taken to Resolve:
List any actions you’ve taken or people you’ve contacted to address the issue so far.
Desired Outcome:
*
Explain what resolution or result you are hoping to achieve through this complaint.
Supporting Documents
Browse Files
Drag and drop files here
Choose a file
Attach any relevant files, photos, or correspondence that support your complaint.
Cancel
of
Additional Information (Optional):
Acknowledgment & Consent
*
I confirm that all information provided is complete and accurate to the best of my knowledge.
Preferred Contact Method
*
Phone
Email
Mail
Privacy Notice
Personal information is protected under the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA). However, some details may indirectly identify you during the investigation.
Privacy Acknowledgment
*
I understand that my personal information will be handled in accordance with MFIPPA.
How satisfied are you with the complaint submission process?
*
1
2
3
4
5
(1 star = Very Dissatisfied, 5 stars = Very Satisfied)
Submit
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