Online Complaint Form

First Steps

Not sure what the Ombudsperson can investigate?
• Send us an email: contactus@ombudspei.ca
• Call us: 902-288-1105

Have you already raised your concerns through the agency’s complaint or review process?

If not, we encourage you to do so before filing a complaint with the Ombudsperson.

Prefer to Print?

You can also download our complaint form in PDF Format.

Full Name:

First

Last

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Primary Phone Number *

Alternate Phone Number:

Email *

How would you prefer we contact you? We will do our best to use your preferred method of contact but we may need to communicate with you by other methods to get the information needed to assist with your complaint. *

Phone
Email

What else should we know about contacting you?

This might include: international phone numbers or contact information, that you don’t want us to leave voice mail messages, requests for interpretation or relay services or other accommodations, that you have an advocate or support person you would like to help you communicate with us, or any other special considerations or requests.

Name of department, agency, or organization you are complaining about *

Please include, if possible, titles and contact information for the main people you have dealt with at the organization(s), and the dates you have been in contact with them.

Who have you dealt with there?

Example: Who is your complaint about?

What is your complaint? *

Briefly summarize your complaint. Please be as specific as possible about what decisions, communications or services you are concerned about, when they occurred, their impact on you, what you think is unfair about the decision, communication or service, and any file or reference numbers related to your complaint.

How have you tried to resolve your concerns?

Tell us about any complaint, appeal, review or reconsideration process you have used, or other steps you have taken to have your complaint dealt with.

What was the response or review decision? Please include dates of your requests and any responses you received.

How can we help you resolve the complaint? What outcome or resolution would be reasonable to you?

What else is important for us to know right now? Please let us know about any upcoming deadlines, complicating factors, other parties involved, or any other information that you think is important to help us assess your complaint.

Supporting Documents

Are there any documents you can provide to help us assess your complaint? The most important documents you can provide are correspondence you’ve received from the agency you are complaining about – particularly ones that communicate decisions they have made or respond to the concerns you’ve raised with them. Please include, if possible, any relevant documents along with your form submission. You may also submit documents and evidence later by mail, email, or in person.

Click or drag files to this area to upload. You can upload up to 6 files.

Please be aware that OmbudsPEI may share the information provided by you for the purposes of assessing and investigating your complaint. *

I Agree

Online Complaint Form

First Steps

Prefer to Print?

Call: 1-902-288-1105

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