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Collects complainant contact details and a comprehensive incident description including date, time, and location, along with any known respondent information. Includes questions on whether minors were involved, whether authorities were contacted and related details, and whether another organization has already heard the matter. 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Please provide as much detail as possible to help us address the matter effectively. All information submitted will be considered confidential. Please note if the complaint process proceeds, the Respondent will be notified of the complaint. We will obtain your consent prior to taking this step.  \n1. Complainant Information  \nName:    \nEmail:    \nPhone Number:  \n______________________________________  \n2. Description of Incident  \nPlease describe the incident in detail (include date, time, location, and any other relevant information):  \n3. Respondent Information (if known)  \nName:    \nEmail or Contact Information (if available):   \n4. Additional Context  \nWere minors involved in this incident? (Yes/No):    \nHave authorities been contacted about this incident? (Yes/No):    \nIf yes, please provide details (e.g., police report number, agency contacted):  \nHas this matter been heard by another organization or body? (Yes/No):   \nIf yes, please provide details (e.g., the name of the organization, date of hearing, outcome):  \n5. Desired Outcomes  \nWhat outcomes are you seeking in response to this complaint? (e.g., mediation,  \ndisciplinary action):  \n6. Classification of Incident  \nDo you believe this incident constitutes maltreatment? (Yes/No):    \n7. Request for Forwarding  \nIf you believe the incident constitutes maltreatment, would you like the Provincial Sport Organization (PSO) to forward this complaint to the Independent Third Party (ITP) for Sport New Brunswick? (Yes/No):    \nDeclaration  \nI hereby declare that the information provided in this form is true and accurate to the best of my knowledge.  \nSignature:    \nDate:    \nFor Office Use Only  \nDate Received:    \nReviewed By:    \nActions Taken:","cbCaic3TQUjFQKUV","https://ap.wps.com/l/cbCaic3TQUjFQKUV","pdf",56252,"English","# Complainant Information\n# Description of Incident\n# Respondent Information (if known)\n# Additional Context\n# Desired Outcomes\n# Classification of Incident\n# Request for Forwarding\n# Declaration\n# For Office Use Only","[{\"question\":\"What information is required in the complainant section?\",\"answer\":\"Provide the complainant’s name, email, and phone number.\"},{\"question\":\"What details should be included when describing the incident?\",\"answer\":\"Describe the incident in detail, including date, time, location, and any other relevant information.\"},{\"question\":\"What choices are available for forwarding the complaint?\",\"answer\":\"If the incident constitutes maltreatment, indicate whether you want the Provincial Sport Organization (PSO) to forward the complaint to the Independent Third Party (ITP) for Sport New Brunswick.\"}]","Complaint Submission Form - Final | PDF",1789850308]