Who should you use this form?
Any person directly involved or the parent/guardian in the case of a minor.
A representative from the sport organizations
This form should be used to:
i) file a complaint of maltreatment, as defined by the Universal Code of Conduct to Prevent
Maltreatment in Sport (UCCMS), or
ii) file a complaint alleging a failure on the part of a Provincial Sport Organization (PSO) to follow
its constitution and/or by-laws.
There is no cost to use this program.
Please allow up to three (3) working days to receive acknowledgement of your complaint.
Please provide as much information as possible, if there are more than three (3) respondents,
please attach additional details to this form.
Please provide as much information as possible
Please list date(s) of incident(s), please add multiple dates if applicable (mm/dd/year). If there are
more than the allotted spaces, please attach additional details to this form.
** If the complaint was heard through another formal complaint process, you cannot submit the same
REPORTING OF LEGAL MATTERS
Please note that administrators of this Program have a “duty to report” if the alleged complaint deals
with maltreatment. If reported to proper legal authorities, please provide report reference number or
authority contact information when emailing this form — please do not include any legal and/or private
I hereby declare that the information I have provided in this complaint is true and correct to the best
of my knowledge.
I accept that the complaint will be shared with the respondent(s).
I accept that the information provided may be used and disclosed to the proper legal authorities and
arbitrators/mediators for the purposes of this program.