Required fields are marked with asterisks (*)

Township of Essa - Council Code of Conduct Formal Complaint

Please complete this form if you would like to file a formal complaint regarding an alleged contravention of Council's Code of Conduct.

Mandatory fields are marked with an asterisk(*).

Name of applicant

Address

Phone Number

Email Address

Which member of Council are you filing the complaint against?

Date of alleged contravention?

Please list the provision(s) in the Council Code of Conduct that were allegedly contravened

Please list the facts that constituted the alleged contravention

Were there any witnesses to the alleged contravention?

Yes

Date of Application

Signature

Clear