KAMHA Complaint Submission Form (Kingston Area Minor Hockey Association)

KAMHA Complaint Submission Form

To lodge a formal complaint, please use this form. Complaints must be filed within 30 days of the alleged incident(s). Anonymous complaints or incomplete forms will not be investigated. This form is to be completed only after a resolution at the team level with the parent rep is found to be unsatisfactory by the Complainant.

Person Making the Complaint

First/Last Name^*

Role of Complainant^*

Chose One

Phone Number^*

Example: ###-###-####

Email Address^*

Example: [email protected]. Your submission will be sent to this address.

Person on whose behalf the complaint is being made

If different from above

Team Information

Team Name^*

Indicate the team you are on. example U18AA or HL 403

Name of Complainant Team's Parent Rep^*

If you do not have a Team Parent Rep add N/A

Name of Coach^*

Respondent Information

Person Complaint Being Filed Against^*

Respondent's Name

Title or Role of Respondent Within KAMHA^*

Nature Of The Complaint

Nature Of The Complaint^*

Abuse
Code Of Conduct
Harassment
Other

Check All That Apply

Describe the complaint^*

Identify the facts and issues. Try to be brief.

Was the Parent Rep Contacted Prior to Completing This Form^*

Why Wasn't the Parent Rep Contacted Prior to Completing This Form

A Brief Description Why

Have attempts been made to resolve the complaint?^*

YesNo (Specify Below)

Have attempts been made to resolve the complaint?

When did the incident occur?^*

I confirm that the information completed in this form are accurate and truthful and are free from any mal-intent

I understand that this form will be sent to our Director of Risk Management and information will be shared with the Dispute Resolution Committee. A follow up will be issued within 3 business days or earlier depending on the nature of the complaint.

Follow up emails will not be responded to during the time frame mentioned above

I agree to the terms and conditions stated above^*

KAMHA Complaint Submission Form (Kingston Area Minor Hockey Association)

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Person Making the Complaint

Team Information

Respondent Information

Nature Of The Complaint

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