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About You*

First Name* Last Name*

Address*

Street Address* Address Line 2 City* Province* Postal Code*

Phone*

Phone Type

Home
Work
Cell
Other

Phone - Other

Alternate Phone

Alternate Phone Type

Home
Work
Cell
Other

Alternate Phone - Other

Best way to contact you

Phone
Letter

Best time of day to contact you:

Morning
Afternoon

How did you hear about us?*

How did you hear about us - Other

Representation*

Please choose one of the following:

This is my complaint and I am the contact person.
This is my complaint and I am being represented by someone else.
I am representing the person with the complaint.

The person representing me is a*

I am that person’s:*

Other Representation*

Do you have permission to represent them?*

Please note: If you do not have their permission, we cannot take the complaint.

Yes
No

Please provide their name and contact information*

Which ministry, agency, Crown corporation or organization is your question or complaint about?*

Please provide a brief summary of your complaint.*

Supporting Documents

Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, xls, xlsx, pst, Max. file size: 10 MB, Max. files: 15.

The information you provide us is confidential and this form will be transmitted to our office in a secure manner. We are committed to keeping your information confidential and therefore will not discuss complaint information by email. Someone from our office will contact you by phone or letter, with consideration to the time preference you have listed. Phone contact will be by the end of the next working day.

Once you have completed this form, you will be redirected to a summary page where you will be able to print it for your records.

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Make a Complaint Online

regina office

saskatoon office