[ PDF Format (13 Kb) | Electronic form ]
Name of the person making the allegation:
Address:
E-mail address:
Phone number (home):
Phone number (work):
Name of the employee or deputy head against whom the
allegation is made:
Organization in which that employee or
deputy head is employed:
Address:
Section of the Act contravened (check one):
Description of alleged contravention
(please provide as much detail as possible):
Please return the completed form to the Investigations Branch of the Public Service Commission either by mail or fax:
Director
Jurisdiction and Case Management
Investigations Branch
Public Service Commission
300 Laurier Avenue West
L'Esplanade Laurier, West Tower
Ottawa, Ontario. K1A OM7
Tel: (613) 995-7009
Fax: (613) 996-7029