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Compliance Complaint Form

Complete as much of this form as possible according to the information you have and the facts as you know them. The information gathered in this form will be used to investigate the complaint. You may be contacted by staff assigned to the file if additional information is required.

Complainant Information

* Name

Apprenticeship ID or
Journeyman Certificate Number (if applicable)

Mailing Address

City/Town

Province/Country

* Preferred method of contact

Email Primary Phone

* E-mail Address

* Primary Phone Number

Secondary Phone Number

Subject of Complaint's Information

* Complaint is regarding an

Individual Employer

* Name of Employer/Individual

* Related to what trades

Worksite Address

* City/Town

Postal Code

Phone Number

Email

Details of Complaint

* Location of occurence

* Date/Time of occurrence

* Details of complaint

Please provide as much specific detail as possible.

Did you raise this complaint to this Employer or Individual?

 Yes No

Do you have a record of your complaint?

 Yes No

Do you have any other information about your complaint?

For example, were there any witnesses? Do you have any documents that may be useful?

Personal information is collected by Advanced Education under the authority of s. 33(c) of the Freedom of Information and Protection of Privacy Act (Alberta) (“FOIP”) for the purposes of investigation of the complaint and for administration of programs and services under the Apprenticeship and Industry Training Act (Alberta). The information will be used and disclosed in accordance with FOIP. If you have any questions about the collection, use or disclosure of this information, please contact the Assistant Investigator, Program Compliance and Investigations Unit, Apprenticeship and Industry Training, 9th Floor, Sterling Place, 9940 – 106 Street, Edmonton, Alberta, Canada, T5K 2V1. Telephone: 1-800-248-4823 or email: AIT.Compliance@gov.ab.ca.

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