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Complaint Report

IF THIS IS AN EMERGENCY PLEASE CALL 911

Complainant Information

First Name

Last Name

Address

Town/Hamlet/Subdivision

Postal Code

Primary Phone Number

Secondary Phone Number

Other Witness

Additional Witness First Name

Additional Witness Last Name

Additional WItness Phone Number

Additional Witness Address

Add Witness Remove Witness

Details of Offence

Date of Offence

Time of Offence

Location of offence (Ex. House number/street number/subdivision/hamlet/town/RGE RD/TWP RD...)

Describe the offence (5000 Characters Max)

Would you like a follow-up call once the investigation is complete?

Yes

Protection of Privacy - Personal information is collected in accordance with Section 33(c) of the Alberta Freedom of Information and Protection of Privacy Act (the FOIP Act) and will be protected under Part 2 of that Act. It will be used for the purposes of administering the program or service for which the information is collected. Should you require further information about collection, use and disclosure of personal information, please contact the FOIP Coordinator at foip@countygp.ab.ca or call 780-532-9722.