Witness identification form

This form can be used by both Complainants and Respondents to share their list of witnesses with the Canadian Human Rights Commission

This form will not be shared with the other party throughout the Commission’s process.

General instructions

Complete this form if there are witnesses that can support your version of events.
When you have completed this form and press Submit a copy of the form will be emailed to the email address you provided in the form as well as to the Commission.
If you need this form in an alternative format, please email us at: complaint.plainte@chrc-ccdp.gc.ca or call us toll-free at: 1-888-214-1090 or TTY: 1-800-465-7735.
Refer to the Frequently Asked Questions for more information or call us toll-free at: 1-888-214- 1090 or TTY: 1-800-465-7735.

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

Name

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

Name

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

Name

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

Name

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

Name

First name

Last name

Primary phone number

Alternate phone number

Email address

Confirm email

What information is this witness expected to provide or address?