a guide to lodging formal complaints and requesting independent

Transcription

A GUIDE TO LODGING
FORMAL COMPLAINTS AND
REQUESTING INDEPENDENT
CIVILIAN REVIEWS
Website: www.cpc-cpp.gc.ca
Email: [email protected]
Telephone: 1-800-665-6878
Fax: 604-501-4095
Mail:
Commission for Public Complaints
Against the RCMP
National Intake Office
P.O. Box 88689
Surrey, B.C. V3W 0X1
TABLE OF CONTENTS
ABOUT US............................................................................................................. 1
Who Can Make a Complaint?
What Kind of Issues Can I Complain About?
WHAT HAPPENS WHEN I CONTACT THE CPC? .............................................. 2
Enquiry
Early Resolution
Formal Complaint Process
Independent Civilian Review
How Do I Make a Complaint?
How Do I Request an Independent Civilian Review?
FORMAL COMPLAINT AND REVIEW PROCESS FLOWCHART....................... 5
EARLY RESOLUTION EXAMPLES...................................................................... 6
FORMS................................................................................................................... 7
Formal Complaint Form.................................................................................... 9
Request for Review Form............................................................................... 13
Third Party Authorization Form....................................................................... 15
ABOUT US
•
The Commission for Public Complaints Against
the RCMP (CPC) is 1an independent civilian
review agency.
WHO CAN MAKE A
COMPLAINT?
•
It is not part of the RCMP.
•
Anyone, including youths. You do not have to
be a Canadian citizen.
•
A complaint may be made anonymously.
•
A complainant does not have to be directly
involved in the incident; a complaint may be
made as a witness to an incident or on behalf
of someone else.
•
The Chair of the CPC can also initiate a public
complaint in the public interest.
• The
CPC
makes
findings
and
recommendations aimed at correcting and
preventing recurring policing problems.
•
Our goal is to promote excellence in policing
through accountability.
IN BRIEF: The role of the CPC and
RCMP in the complaint process
WHAT KIND OF ISSUES CAN I
COMPLAIN ABOUT?
• The CPC or RCMP may receive
complaints about the on-duty conduct of
active RCMP members.
•
Improper attitude, disrespect, lack of fairness.
•
Failure of a police officer to identify themselves.
•
Excessive or unnecessary force, threats,
harassment.
•
Improper arrest, unreasonable
improper care of prisoners.
•
Inadequate criminal investigations.
•
Improper search of a person, their home or
vehicles, damage to property.
•
Improper release of information.
• The RCMP investigates the allegations
and provides a written report of its
findings to the complainant and the CPC.
• If dissatisfied, the complainant can ask
the CPC to conduct an independent
civilian review of the RCMP’s findings.
detention,
Administrative matters
Decisions made in the “administration of the
affairs of the Force” are not the sort of issues that
Parliament intended to be examined by the CPC.
For example, issues relative to setting priorities on
the expenditure of police resources and complaints
relative to delays in processing of fingerprints
or criminal record checks are administrative
processes and not related to conduct of RCMP
members. Therefore, the CPC has no jurisdiction
over such administrative matters.
1
WHAT HAPPENS WHEN I CONTACT
THE CPC?
FORMAL COMPLAINT
PROCESS
A CPC analyst will listen to all of the information
that is relevant to your concerns and establish
what you would like to achieve through your contact
with the CPC.
A formal complaint can be filed with either the
CPC or the RCMP. Although the process is similar
regardless of where the initial complaint is lodged,
lodging your complaint with the CPC allows you
access to a trained CPC analyst who can assess
your needs and help guide you through the
complaint process.
The analyst will provide you with information about
available options, such as:
ENQUIRY
•
•
If a client simply wants to share information with
the CPC or is seeking information regarding
the RCMP, an enquiry file will be opened to
record the issues.
If a complaint is lodged with the CPC, it will be
recorded on a CPC formal complaint form and sent
to the RCMP to process and begin investigation.
A client may also want an RCMP supervisor
to be aware of a situation but does not want to
have direct involvement with the RCMP. The
client may file a report to the RCMP through
the CPC. The CPC will share this information
with RCMP supervisors in order to address
incidents that may have been previously
unknown to them.
1. The RCMP will fill out the complaint on an RCMP
Form 4110, which is a record of all information
relevant to a formal public complaint.
•
The RCMP is not required to act on these
reports; however, they often do.
•
Information obtained through an enquiry file
can help identify trends in policing or frequent
problematic behaviour exhibited by a particular
police officer.
3. The legislation does allow the RCMP to
try to resolve complaints informally before
proceeding to an investigation. An informal
resolution requires the consent of both the
complainant and the RCMP members involved.
2. The complainant will be asked to sign the form
under the list of allegations. The complainant
and the involved RCMP members may have a
copy of the form.
4. If the complaint is resolved informally, the
RCMP Form 4110 will record how the matter
was resolved and requires the signed consent
of both the complaint and RCMP members
involved.
EARLY RESOLUTION
•
The CPC can arrange for an exchange of
information between a complainant and the
RCMP in an effort to resolve concerns prior to
a formal complaint being made.
•
If the early resolution process does not address
the situation to the complainant’s satisfaction,
a formal complaint can be initiated.
•
For examples of early resolution, please see
page 6 of this guide
2
What happens when the review is
complete?
5. Complaints not resolved informally will be
assigned to an RCMP investigator who
will obtain a detailed statement from the
complainant, witnesses and members involved.
•
If the CPC determines, after a review of
all information, that the RCMP responded
satisfactorily to the complaint, a report stating
why the CPC considers it was dealt with
properly will be sent to the complainant and
the subject member of the complaint. That will
be the final step in dealing with the complaint.
•
If the CPC determines that the RCMP did not
deal with the complaint in a satisfactory manner,
the CPC will send an interim report, which
makes findings and/or recommendations, to
the federal Minister of Public Safety and the
RCMP Commissioner.
•
The CPC can recommend remedial training for
officers and changes in RCMP policing policy or
practices to avoid repetition of similar conduct.
The CPC does not make recommendations
regarding
monetary
compensation
for
damages.
•
The RCMP Commissioner must review and
respond to the interim report indicating what
action the RCMP has taken, or will take,
in response to the CPC’s findings and/or
recommendations. This response is known
as the Commissioner’s Notice and must be
provided to the CPC and to the Minister of
Public Safety.
•
If the RCMP Commissioner rejects the
CPC’s findings or recommendations, the
Commissioner’s Notice must contain the
reason(s) for the rejection.
•
The CPC responds to the RCMP Commissioner
through a Final Report After Commissioner’s
Notice (FACN), which is also sent to the
Minister of Public Safety, the complainant and
the RCMP members involved.
•
The FACN comments on actions taken or
proposed by the RCMP Commissioner and
is the end of the CPC’s involvement in the
complaint process.
6. The RCMP sends monthly status letters to
keep complainants apprised of progress on
the file. The investigation may take as long as
necessary. There are no time limits.
7. When the investigation is complete, the RCMP
will send the complainant a letter of disposition
explaining its findings.
8. The letter of disposition will provide information
on how to contact the CPC if the complainant
is not satisfied with the RCMP’s investigation,
and wishes to request an independent civilian
review of the RCMP’s findings.
INDEPENDENT CIVILIAN
REVIEW
Why are independent civilian reviews
important?
Reviews provide for independent civilian monitoring
of the RCMP’s management of complaint files
where the complainant is not satisfied with the
results of the investigation. This is an important
component of the CPC’s legislated role.
What happens when I request an
independent civilian review?
•
The independent civilian review process can
only be initiated by the complainant or an
authorized third party.
•
The complainant must provide a written
submission detailing why they disagree with
the RCMP’s findings regarding their complaint.
•
The CPC will obtain all relevant information from
the RCMP regarding the complaint investigation.
•
The CPC will thoroughly review the complaint,
the RCMP’s response and all relevant materials,
such as witness statements, police reports and
notes, transcripts of court proceedings and
RCMP policies and procedures.
3
•
The legislation that mandates the CPC and
the public complaint process does not set out
any timelines, and the process can be lengthy
depending on the complexity of the issues.
HOW DO I REQUEST AN
INDEPENDENT CIVILIAN
REVIEW?
•
The CPC has implemented self-imposed
service standards with the aim of steering each
complaint through from initial lodging of the
complaint to its conclusion in as timely manner
as possible and ideally within one calendar
year. This target, however, is fully dependent
upon the RCMP’s response times.
•
Telephone CPC Headquarters in Ottawa,
Ontario, at 1-800-267-6637
•
Send an email to:
[email protected]
•
Complete the printable version of the request
for review form in PDF and send it via:
HOW DO I MAKE A
COMPLAINT?
•
Telephone the National Intake Office in
Surrey, B.C., at 1-800-665-6878
•
Complete an online complaint form on our
website: www.cpc-cpp.gc.ca
•
Send an email to:
[email protected]
Fax: 613-952-8045
or
Mail:
Against the RCMP
Bag Service 1722, Station B
Ottawa, Ontario K1P 0B3
The complaint form can also be sent to:
Fax: 604-501-4095
or
Mail:
Against the RCMP
National Intake Office
P.O. Box 88689
Surrey, B.C. V3W 0X1
A complaint can also be made directly to:
•
the RCMP. The process is similar regardless of
where a complaint is lodged.
•
the provincial authority in the province in which
the subject-matter of the complaint arose. They
may refer clients to the CPC or the RCMP.
4
FORMAL COMPLAINT AND
REVIEW PROCESS FLOWCHART
A complaint is made. *
RCMP
The RCMP investigates
the complaint.
Against the RCMP (CPC)
The RCMP reports to the
complainant.
Provincial Authority
Is the complainant satisfied with
the RCMP’s report?
Yes
END OF
PROCESS*
No
The complainant may request a
review by the CPC.
Is the CPC satisfied with the
RCMP’s report?
No
Yes
The Chair may:
- review the complaint without
further investigation;
- ask the RCMP to investigate
further;
- initiate his own investigation; or
- hold a public hearing.
The Chair sends an interim report to the
RCMP Commissioner and the Minister
of Public Safety. In the case of a public
hearing, the panel prepares the report.
The Chair sends a satisfied report to the
RCMP Commissioner, Minister of Public
Safety, complainant and member(s)
involved.
END OF
PROCESS*
The RCMP Commissioner gives
notice, identifying what actions will be
taken. If no action is to be taken,
reasons will be provided.
The Chair sends a final report to the
RCMP Commissioner, Minister of Public
Safety, complainant and member(s)
involved.
END OF
PROCESS*
* The Chair can initiate his own complaint. In addition, at any stage of the process, the Chair may
institute an investigation or a hearing where he considers it advisable in the public interest.
5
EARLY RESOLUTION EXAMPLES
The CPC can arrange for an exchange of information between a client and the RCMP. This communication
can resolve issues without entering into the formal complaint process, as illustrated in the example below.
•
The client believed he and some friends were stopped because they were Aboriginal. The CPC
arranged a meeting between the client and an RCMP supervisor. The matter was fully discussed and
the client subsequently understood the reasons for the member’s actions. The matter was resolved
to the satisfaction of both parties.
The CPC receives a number of calls each year regarding family and child custody issues. Often, it is
simply a matter of understanding how the law pertains to the client’s situation, as the following example
illustrates.
•
A client had concerns about safety when picking up her five-year-old daughter from the estranged
grandmother’s house, so she requested the assistance of the RCMP. She was refused and told that it
was a family matter to be dealt with through the courts. A CPC analyst arranged for the client to speak
with an RCMP supervisor, who confirmed that unless there is a court order with an enforcement
clause, the RCMP is not able to act in child custody matters. The supervisor invited the client to call
any time she had a question or concern. The client was satisfied and did not lodge a complaint.
Members of the public are often uncertain of the level of authority RCMP members have under the law and
question their actions. A CPC Analyst can sometimes facilitate clarification of this issue, as illustrated in the
case below.
•
RCMP members searched the client’s home without a search warrant, even though the client had
refused them access without one. The client was home with her infant child at the time and both she
and the child were frightened by the members’ language. The CPC arranged a meeting between the
client and an RCMP supervisor to discuss the situation. He explained the circumstances under which
peace officers may enter a dwelling, explaining that, in her case, her roommate was the subject of a
court order, which allowed the RCMP access to her residence. The supervising officer apologized for
the words used by the members while searching the house and for upsetting her baby. The client was
satisfied with the explanation and did not lodge a complaint.
An individual may call the CPC relative to seized personal belongings, as illustrated below.
•
The client was detained at a detachment prior to transfer to a correctional centre. Friends dropped off
his duffle bag containing his wallet at the detachment. Upon his release from the correctional centre,
he tried to retrieve his belongings but was told the bag was never received at the detachment. A
CPC analyst spoke with an RCMP supervisor, who located the bag within a half hour. The client was
satisfied with the result and did not lodge a complaint.
6
FORMS
The following forms are included in this package:
Complaint Form
Formal public complaints against the RCMP lodged with the CPC are filed on a complaint form which
can either be completed by the complainant or by a CPC analyst while speaking with a complainant
over the telephone. The complaint process can be initiated even if some information is not available at
the time the complaint is made.
Request for Review Form
Complainants receive a written report from the RCMP at the conclusion of the complaint investigation.
The last paragraph of the report will advise the complainant how to request an independent civilian
review by the CPC if they are dissatisfied with the RCMP’s findings. The complainant must complete,
sign and submit the Request for Review Form to initiate the process.
Third Party Authorization Form
The CPC manages files in accordance with the Privacy Act. Confidentiality is strictly maintained unless
a complainant authorizes the release of their information by completing the Third Party Authorization
Form. If a complainant would like an advocate or representative to participate in the complaints process
and be privy to any information regarding their complaint, the complainant’s signature is required prior
to the release of any file information.
7
Protected when completed (under the Privacy Act) /
Protégé une fois rempli (en vertu de la Loi sur la
protection des renseignements personnels)
COMPLAINT FORM - FORMULAIRE DE PLAINTE
File No./N° de dossier :
COMPLAINANT INFORMATION / RENSEIGNEMENTS AU SUJET DU PLAIGNANT
1.
FAMILY NAME / NOM DE FAMILLE :
2.
DATE OF BIRTH / DATE DE NAISSANCE :
DAY / JOUR
MONTH / MOIS
YEAR / ANNÉE
GIVEN NAME AND INITIAL / PRÉNOM ET INITIALES :
GENDER:
MALE
SEXE :
3.
MAILING ADDRESS / ADRESSE POSTALE :
4.
FEMALE
HOMME
FEMME
PRIMARY TEL. NO. / N° DE TÉL. PRINCIPAL :
ALTERNATE TEL. NO. / AUTRE N° DE TÉL. :
E-MAIL / COURRIEL :
PHYSICAL ADDRESS IF DIFFERENT FROM MAILING ADDRESS /
CONTACT FOR MESSAGES / POUR LAISSER UN MESSAGE :
ADRESSE MUNICIPALE SI ELLE DIFFÈRE DE L’ADRESSE POSTALE :
NAME / NOM :
TEL. NUMBER / NUMÉRO DE TÉL. :
5.
PREFERRED LANGUAGE OF CORRESPONDENCE / LANGUE DE CORRESPONDANCE PRÉFÉRÉE
ENGLISH / ANGLAIS
FRANÇAIS / FRENCH
6.
WERE YOU THE PERSON INVOLVED IN THE INCIDENT BEING COMPLAINED OF? /
YES / OUI
NO / NON
L’INCIDENT FAISANT L’OBJET DE LA PLAINTE VOUS CONCERNE-T-IL DIRECTEMENT?
IF NOT, PLEASE PROVIDE THE NAME AND CONTACT INFORMATION OF THE PERSON INVOLVED / SI NON, INDIQUEZ LE NOM ET LES COORDONNÉES DE LA
PERSONNE CONCERNÉE
7.
IF YOU WERE GIVEN A FILE NUMBER BY THE RCMP WITH RESPECT TO THE INCIDENT BEING
COMPLAINED OF, PLEASE PROVIDE IT / SI LA GRC VOUS A DONNÉ UN NUMÉRO DE DOSSIER
CONCERNANT L’INCIDENT, VEUILLEZ LE FOURNIR
8.
DID YOU SIGN A COMPLAINT FORM WITH THE RCMP ABOUT THE CONDUCT OF THE RCMP
MEMBERS INVOLVED IN THIS INCIDENT? / AVEZ-VOUS DÉPOSÉ UNE PLAINTE À LA GRC AU SUJET DE
LA CONDUITE DES MEMBRES DE LA GRC CONCERNÉS?
O
RCMP FILE NO. / N DE DOSSIER DE LA GRC :
YES / OUI
NO / NON
IF SO, WHEN AND WHERE DID YOU SIGN THE COMPLAINT FORM? / SI OUI, QUAND ET OÙ L’AVEZ-VOUS DÉPOSÉE?
DID YOU SIGN AN AGREEMENT WITH THE RCMP TO RESOLVE THE COMPLAINT INFORMALLY? /
YES / OUI
NO / NON
AVEZ-VOUS CONCLU UNE ENTENTE AVEC LA GRC POUR RÉGLER LA PLAINTE À L’AMIABLE?
9.
DO YOU WISH THE COMMISSION AND THE RCMP TO COMMUNICATE DIRECTLY WITH A LEGAL REPRESENTATIVE OR AN ADVOCATE INSTEAD OF YOURSELF?
IF SO, PLEASE PROVIDE THE FULL NAME AND CONTACT INFORMATION OF YOUR LEGAL REPRESENTATIVE OR ADVOCATE AND INDICATE YOUR CONSENT BY
CHECKING “THIRD PARTY AUTHORIZATION.”
VOULEZ-VOUS QUE LA COMMISSION ET LA GRC COMMUNIQUENT DIRECTEMENT AVEC UN REPRÉSENTANT LÉGAL OU UN PORTE-PAROLE PLUTÔT QU’AVEC
VOUS? SI OUI, VEUILLEZ FOURNIR AU COMPLET LE NOM ET LES COORDONNÉES DE VOTRE REPRÉSENTANT LÉGAL OU DE VOTRE PORTE-PAROLE E T
COCHER LA SECTION « AUTORISATION D’UN TIERS » POUR DONNER VOTRE CONSENTEMENT.
MAILING ADDRESS / ADRESSE POSTALE
BUSINESS TEL. / TÉL. TRAVAIL
FAX / TÉLÉCOPIEUR
P.O. Box 88689 Surrey, BC V3W 0X1/
C.P. 88689 Surrey (C.-B.) V3W 0X1
CPC 001B (04/12)
1-800-665-6878
1-866-432-5837 TTY (ATS)
604-501-4095 FAX
www.cpc-cpp.gc.ca
9. cont’d / suite
THIRD PARTY AUTHORIZATION
By checking this box, I hereby give consent for the Commission for Public Complaints Against the RCMP and staff thereof to disclose
information in relation to my public complaint to the third party named above. I further authorize my representative named above to act on my behalf
in dealing with the Commission for Public Complaints Against the RCMP for the purpose of this complaint.
AUTORISATION D’UN TIERS
En cochant cette boîte, j’autorise la Commission des plaintes du public contre la GRC et son personnel à divulguer des renseignements
concernant ma plainte au tiers dont le nom figure ci-dessus. J'autorise par ailleurs mon représentant, désigné ci-dessus, à agir en mon nom auprès
de la Commission des plaintes du public contre la GRC au sujet de cette plainte.
PLEASE NOTIFY THE COMMISSION IF ANY OF YOUR CONTACT INFORMATION CHANGES PRIOR TO THE DISPOSITION OF YOUR COMPLAINT /
PRIÈRE D’INFORMER LA COMMISSION DE TOUT CHANGEMENT DE COORDONNÉES AVANT QUE VOTRE PLAINTE NE SOIT RÉGLÉE
CIRCUMSTANCES OF COMPLAINT / CIRCONSTANCES DE LA PLAINTE
(COMPLETE AS MUCH AS POSSIBLE / FOURNIR LE PLUS DE RENSEIGNEMENTS POSSIBLE)
10. DATE OF INCIDENT / DATE DE L’INCIDENT :
DAY / JOUR
MONTH / MOIS
YEAR / ANNÉE
11. TIME OF INCIDENT /
HEURE DE L’INCIDENT :
12. CITY AND PROVINCE/TERRITORY OF INCIDENT /
LIEU DE L’INCIDENT (PROVINCE/TERRITOIRE, VILLE) :
13. DESCRIBE ANY INJURIES SUFFERED / DÉCRIRE TOUTE BLESSURE INFLIGÉE
14. IF PHOTOS WERE TAKEN OF ANY INJURIES, WHO TOOK THE PHOTOS? / LES BLESSURES ONT-ELLES ÉTÉ PHOTOGRAPHIÉES? SI OUI, QUI A PRIS LES
PHOTOS?
15. IF THERE WAS MEDICAL TREATMENT FOR ANY INJURIES, PLEASE PROVIDE THE NAME OF THE DOCTOR AND MEDICAL FACILITY / SI LES BLESSURES ONT ÉTÉ
TRAITÉES, VEUILLEZ DONNER LE NOM DU MÉDECIN ET DU CENTRE HOSPITALIER OU DE LA CLINIQUE
16. DESCRIBE ANY EVIDENCE TO SUPPORT YOUR COMPLAINT / DÉCRIVEZ TOUTE PREUVE À L’APPUI DE VOTRE PLAINTE
DETAILS OF COMPLAINT / DÉTAILS DE LA PLAINTE
17. PLEASE DESCRIBE THE INCIDENT AS COMPLETELY AS POSSIBLE (CONTINUE ON ADDITIONAL PAGES, IF NECESSARY) / DÉCRIVEZ L’INCIDENT DE FAÇON DÉTAILLÉE
(ANNEXEZ D’AUTRES FEUILLES AU BESOIN)
P.O. BOX 88689 Surrey, BC V3W 0X1/
C.P. 88689 Surrey (C.-B.) V3W 0X1
CPC 001B (09/11)
1-800-665-6878
1-866-432-5837 TTY (ATS)
604-501-4095 FAX
www.cpc-cpp.gc.ca
18. WHAT WOULD YOU LIKE TO ACHIEVE THROUGH THIS COMPLAINT PROCESS? / QUELS OBJECTIFS SOUHAITEZ-VOUS ATTEINDRE EN DÉPOSANT CETTE
PLAINTE?
19. THE COMPLAINT IS ABOUT THE CONDUCT OF THE FOLLOWING RCMP MEMBER(S) (CONTINUE ON ADDITIONAL PAGES, IF NECESSARY) /
LA PLAINTE VISE LE(S) MEMBRE(S) DE LA GRC SUIVANT(S) (ANNEXEZ D’AUTRES FEUILLES AU BESOIN)
NAME AND RANK / NOM ET GRADE :
DETACHMENT / DÉTACHEMENT :
20. WITNESS(ES) (MAY INCLUDE RCMP MEMBERS YOU ARE NOT COMPLAINING ABOUT) (CONTINUE ON ADDITIONAL PAGES, IF NECESSARY) /
TÉMOIN(S) (IL PEUT S’AGIR DE MEMBRES DE LA GRC DONT LA CONDUITE NE FAIT PAS L’OBJET DE LA PLAINTE) (ANNEXEZ D’AUTRES FEUILLES AU BESOIN)
ADDRESS / ADRESSE :
TELEPHONE / TÉLÉPHONE :
RELATIONSHIP TO COMPLAINANT / LIEN AVEC LE PLAIGNANT :
ADDRESS / ADRESSE :
TELEPHONE / TÉLÉPHONE :
RELATIONSHIP TO COMPLAINANT / LIEN AVEC LE PLAIGNANT :
Note: By submitting the Complaint Form, you are authorizing the Commission for Public Complaints Against the RCMP to collect your personal information.
This information is being collected solely for purposes related to Part VII of the Royal Canadian Mounted Police Act (RCMP Act). The Complaint Form along
with all other relevant documentation may be forwarded to the RCMP for investigation pursuant to subsection 45.35(3) of the RCMP Act. Accordingly, an RCMP
complaint investigator may contact you to provide a statement.
The information is held in Personal Information Bank CPC PPU 005 and you have a right to access this information in accordance with the Privacy Act.
Nota : En soumettant le Formulaire de plainte, vous autorisez la Commission des plaintes du public contre la GRC à recueillir vos renseignements personnels.
Ces renseignements seront recueillis seulement à des fins reliées au processus prévu à la partie VII de la Loi sur la Gendarmerie royale du Canada (Loi sur la
GRC). Le Formulaire de plainte ainsi que tous les documents pertinents peuvent être acheminés à la GRC pour une enquête en vertu du paragraphe 45.35(3)
de la Loi sur la GRC. Par conséquent, un enquêteur de la GRC pourrait vous demander de donner une déclaration.
Les renseignements sont conservés dans le fichier de renseignements personnels CPP PPU 005 et vous pouvez y accéder conformément à la Loi sur la
protection des renseignements personnels.
COMPLAINT FORM COMPLETED BY:
CE FORMULAIRE A ÉTÉ COMPLÉTÉ PAR :
P.O. BOX 88689 Surrey, BC V3W 0X1/
C.P. 88689 Surrey (C.-B.) V3W 0X1
CPC 001B (09/11)
1-800-665-6878
1-866-432-5837 TTY (ATS)
604-501-4095 FAX
www.cpc-cpp.gc.ca
PROTECTED WHEN COMPLETED
(UNDER THE PRIVACY ACT)
REQUEST FOR REVIEW FORM
OFFICE USE ONLY:
File No.:
MAIL: Service Bag 1722,
Station B
Ottawa, ON K1P 0B3
TELEPHONE: 1-800-267-6637
FAX: 613-952-8045
WEBSITE: www.cpc-cpp.gc.ca
I, ___________________, am dissatisfied with the RCMP's disposition of my complaint
as stated in their letter dated __________. The RCMP file number is ______________.
I request that the Commission for Public Complaints Against the RCMP review (please
check one):
[ ] the entire disposition of my complaint.
[ ] the specific allegations I have listed below. (If additional space is required please
attach additional sheets of paper to this page.)
First Allegation:
Request Review: Yes [ ] No [ ]
Reason:
______________________________________________________________________
______________________________________________________________________
Second Allegation:
Reason:
______________________________________________________________________
______________________________________________________________________
Third Allegation:
Reason:
______________________________________________________________________
______________________________________________________________________
Address: _________________
_________________________
_________________________
Telephone: _______________
________________________________
Signature
_________________________________…………
Date
THIRD PARTY AUTHORIZATION FORM FORMULAIRE D’AUTORISATION D’UN TIERS
File No./N° de dossier :
COMPLAINANT INFORMATION / RENSEIGNEMENTS AU SUJET DU PLAIGNANT
1.
2.
DATE OF BIRTH / DATE DE NAISSANCE :
DAY / JOUR
GENDER:
SEXE :
3.
MAILING ADDRESS / ADRESSE POSTALE :
4.
MONTH / MOIS
MALE
YEAR / ANNÉE
FEMALE
HOMME
FEMME
PRIMARY TEL. NO. / N° DE TÉL. PRINCIPAL :
ALTERNATE TEL. NO. / AUTRE N° DE TÉL. :
E-MAIL / COURRIEL :
PHYSICAL ADDRESS IF DIFFERENT FROM MAILING ADDRESS /
CONTACT FOR MESSAGES / POUR LAISSER UN MESSAGE :
ADRESSE MUNICIPALE SI ELLE DIFFÈRE DE L’ADRESSE POSTALE :
NAME / NOM :
TEL. NUMBER / NUMÉRO DE TÉL. :
5.
THIRD PARTY AUTHORIZATION
By checking this box, I hereby give consent for the Commission for Public Complaints Against the RCMP and staff thereof to disclose
information in relation to my public complaint to the third party named below. I further authorize my representative named below to act on my behalf
in dealing with the Commission for Public Complaints Against the RCMP for the purpose of this complaint.
AUTORISATION D’UN TIERS
En cochant cette boîte, j’autorise la Commission des plaintes du public contre la GRC et son personnel à divulguer des renseignements
concernant ma plainte au tiers dont le nom figure ci-dessous. J'autorise par ailleurs mon représentant, désigné ci-dessous, à agir en mon nom
auprès de la Commission des plaintes du public contre la GRC au sujet de cette plainte.
FULL NAME OF AUTHORIZED THIRD PARTY / NOM AU COMPLET DU TIERS AUTORISÉ :
MAILING ADDRESS / ADRESSE POSTALE
BUSINESS TEL. / TÉL. TRAVAIL
FAX / TÉLÉCOPIEUR
P.O. Box 88689 Surrey, BC V3W 0X1/
C.P. 88689 Surrey (C.-B.) V3W 0X1
CPC 001B (04/12)
1-800-665-6878
1-866-432-5837 TTY (ATS)
604-501-4095 FAX
www.cpc-cpp.gc.ca

a guide to lodging formal complaints and requesting independent

Transcription

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