Forms and Policies

This form is used to record details of a complaint about fair treatment from a person applying for, or receiving services from four designated programs - Employment and Income Assistance, Community Living disABILITY Services, Children's DisABILITY Services, and Early Learning and Child Care (subsidy only). This document authorizes the Fair Practices Office (FPO) to access any personal information and personal health information needed to complete an investigation, including consent to discuss the case with an advocate.