Witness identification form - CHRC Make a Complaint

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Complainant Information

Name of Complainant

First name

Last name

Name of respondent

First name

Last name

Organization Name

Who are you?

The Complainant (or their representative)

The Respondent (or their representative)

Complaint File Number

Your email address

Confirm email

Witness Information

Witness #1

First name

Last name

Primary phone number

Alternate phone number

Email address

Confirm email

What information is this witness expected to provide or address?

Witness #2

First name

Last name

Primary phone number

Alternate phone number

Email address

Confirm email

What information is this witness expected to provide or address?

Witness #3

First name

Last name:

Primary phone number

Alternate phone number

Email address

Confirm email

What information is this witness expected to provide or address?

Witness #4

First name

Last name

Primary phone number

Alternate phone number

Email address

Confirm email

What information is this witness expected to provide or address?

Witness #5

First name

Last name

Primary phone number

Alternate phone number

Email address

Confirm email

What information is this witness expected to provide or address?