Reply form - CHRC Make a Complaint

Part 1: Complaint Information

Name of Complainant (as it is written on the Complaint Form)

First name

Last name

Email address

Confirm email

Complaint File Number

Name of Respondent (as it is written on the Response Form)

First name

Last name

or

Organization Name

Email address

Confirm email

Part 2: Information about the person completing this form

Who are you?

I am the Complainant.

Yes

No

I am the Complainant’s Representative.

Yes

No

Representative’s Name

First name

Last name

What pronouns do you use (ex. he, her, they, etc.)?

Address

City

Province or Territory

Country

Postal code

Primary Phone Number

Email address

You must have the authority to file this Reply on behalf of the Complainant. Explain your authority to act for them

Part 3: Reply to the Preliminary issues(s)

The Response did not list any preliminary issue(s) – go to Part 5

Complete this section if the Respondent raised a preliminary issue(s) in Part 4 of their Response. Read the applicable section of the Preliminary Issue(s) Information Sheet that corresponds to the issue(s) raised by the Respondent. The sheet explains what information the Commission needs to make a decision. Answer the questions in the space below.

Part 4: List of documents - Preliminary issue(s)

There are no preliminary issues to consider

List all the documents you have that support your reply to the preliminary issue(s). Provide a short description of each document, including what preliminary issue it relates to and why it is important.

Important: Attach copies of these documents when you submit your Reply. These documents are not included in the 20-page limit.

LIST OF DOCUMENTS - PRELIMINARY ISSUE(S)
Document title Document description

Part 5: Your reply to new information

Complete this section if the Respondent provided new information in Part 6 of their Response to your complaint. Do not repeat information that you included in your Complaint Form.

As part of your 20 pages (maximum), under the heading “Part 5”, answer the following questions about each new issue:

1. What is the new issue(s) raised in Part 6 of the Response?

2. How is the new issue(s) important to your complaint?

3. Why do you disagree with the Respondent’s information about this issue(s)?

Important: Do not include witness contact information. Send witness contact information to the Commission only by completing the Witness Identification Form. Witness Identification Forms do not count as part of the 20-page limit.

Part 6: List of documents related to your complaint

List all the documents you have that support the information in your complaint. Provide a short description of each document, including what facts it supports.

Important: Keep all of the documents you list. You may be asked for copies of these documents at a later stage in the process.

List of documents related to your complaint

List of documents related to your complaint
Document title Document description

Part 7: Remedies you are seeking

Remedies are actions or measures that are meant to fix the situation you complained about. Remedies are not meant to punish the Respondent.

Please indicate all the remedies that you are asking for

Agreement to end the discrimination, for example by changing a policy or practice.

Provide you the opportunity that was being denied (example: promotion).

Steps or programs to address the discrimination (examples: training, policy).

Payment for pain and suffering.

Payment for willful or reckless behaviour.

Payment for lost wages.

Other

Please explain

Something specific (examples: job back, ramp installed), please list

Part 8: Declaration and Signature

If you are filing your Reply electronically, your digital signature represents your legal signature.

I declare that to the best of my knowledge, all of the information I have provided with this reply is truthful, complete and accurate.

Date

Print Name