Online Complaint Form
(Secure)

To complain or make a request for information to the BC Ombudsman, use the secure form below.  Before you fill out the form, we strongly encourage you to read the information provided on this web site regarding what the Ombudsman can investigate.  For information on the kinds of complaints that the Ombudsman can investigate, please .  

The "Send" form button will transmit your form in a secure and confidential web connection.  You will be contacted within five working days by telephone, fax, or by Canada Post.  The Ombudsman will not reply by e-mail.

Please Note:  

First Name: (* required field)
Last Name: (* required field)


Address Information:

            Address: (* required field)
                           
                           
                   City: (* required field)
  Province/State: (* required field)
Postal/Zip Code: (* required field)


Telephone (Contact) Numbers:
        (if there is no contact phone, please put "none" in the number box and a dash in the area code box)

Contact Phone #:  Area Code:  (* required fields)
            Home  Work  Cell  Pager
Alternate Phone #:   Area Code:
            Work  Home  Cell  Pager  N/A
Fax #:   Area Code: 

The Ombudsman Office is open from Mondays to Fridays, 8:30am - 4:30pm (PST), 
When is the best time to contact you?: 

Please Enter Any Contact Restrictions:
            

How did you hear about our office?

            

1. Give us the name of the organization you are complaining about. (Please be as exact as you can be.)
    (* required field), please separate lines/paragraphs by pressing the enter key for every 15 lines of text

            

2. Give us the names of the people you have dealt with there. Give us any job titles, phone numbers or business addresses that you have for them.
    (* required field), please separate lines/paragraphs by pressing the enter key for every 15 lines of text

            

3. Tell us your complaint. Tell us what you have done to try to solve the problem yourself. (Please give us any file or reference numbers and the dates these things happened.)

 (* required field), please separate lines/paragraphs by pressing the enter key for every 15 lines of text
    

            

4. Did you file an appeal or apply for a review?  If yes, when was the last appeal or review and what was the result? (please separate lines/paragraphs by pressing the enter key for every 15 lines of text)

            

5. Why do you believe the organization's actions are unfair? (please separate lines/paragraphs by pressing the enter key for every 15 lines of text)

            

6. What do you want to happen? Describe the result or outcome. (please separate lines/paragraphs by pressing the enter key for every 15 lines of text)

            

7. If you consider the matter urgent, explain why. (please separate lines/paragraphs by pressing the enter key for every 15 lines of text)

            

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