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COMPLAINTS FORM
COMPLAINTS FORM
Date
Family name
First name
E-mail (required field)
Mailing address
Town
Province
Country
Postal code
Telephone
Fax
File number
(if known)
Address of the
concerned dwelling
Indicate the reasons for the complaint in the space provided. To assist in reviewing your complaint, please provide any other information that could be useful.
Note that we do not reply to messages containing offensive comments or to hate mail, and we reserve the right to forward any threatening messages to the proper authorities.
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Last Update : 2011-12-19
© Gouvernement du Québec, 2006
