Compliance & Enforcement Complaint Form – Law, Crime & Justice Forms

PART 1: COMPLAINT

Complaint Against*

Security Worker

Security Business

Other

Name of workers/business against whom the complaint is being made, or describe*

Date of Incident*

Time of Incident

Location of Incident*

Incident Report (Complaint)*

Provide supporting document(s) if needed

Drop files here or

Accepted file types: pdf, jpg, png, docx, doc, Max. file size: 32 MB, Max. files: 5.

Any video proof needs to be submitted?*

Yes

Once the complaint is submitted, Compliance & Enforcement team will email you a secure transfer link to upload the video proof

Your Name (Complainant)*

First Name Surname

PART 2: Your Contact Information

Complainant is*

Individual

Business

Licensed

Licence Number*

Business Name*

First Name

Middle Name

Surname

Street Address*

Unit / Suite #

City

State / Province / Region

Postal / Zip Code

Country

Mailing Address (If different from above)*

Yes

Street Address

Unit / Suite #

City

State / Province / Region

Postal / Zip Code

Country

Contact Number*

Best time to call the complainant*

Acknowledgement of Information*

I understand that if the Compliance and Enforcement team cannot reach me using the phone number or email address I have provided within one month of submitting this complaint, the complaint may be closed, and if so, no further action will be taken.

2nd option*

I confirm that I have read and understood all sections of this form, and I affirm that the information I have provided is true and correct to the best of my knowledge and belief.

Email*

Alternate Contact Number

Name

This field is for validation purposes and should be left unchanged.