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GSSCC Ethics Request Form
Your information
Name
*
First Name
Last Name
GSSCC Membership Number
*
E-mail
*
example@example.com
Telephone
*
-
Area Code
Phone Number
Other
-
Area Code
Phone Number
Position or club:
*
The person I am complaining about is:
Name
*
First Name
Last Name
GSSCC Membership Number (if known)
Position or Club (if known)
E-mail (if known)
example@example.com
Date of Incident
*
-
mois
-
jour
année
Date
What role were you in relationship to the complaint?
*
Please provide the following information:
Explanation of the allegation.
*
A timeline or summary of all relevant facts in support of the allegation.
*
Provide names and contact information of any witnesses
Please attach all supporting documents if any
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