Tenant's Complaint Form

You can record your complaint by:

Writing a letter
Filling out this form

Complaints can be submitted to our office by:

Completing this form
Sending a fax to 613-938-6280
Sending an e-mail to clientservices@cahousing.ca
Forwarding your letter to 1916 Pitt Street, Unit 11, Cornwall, ON K6J 5H3

Date of Incident:

Time of Incident:

Were the police called?

yes

What Happened? Give a brief description to include name and address of tenant(s) you are complaining about.

What was said and by whom?

Were there other witnesses? Please indicate name(s) of witness(es), if any.

Was anyone hurt or anything damaged? If so, what was the extent of the injury and damage?

Have you tried to resolve the issue(s) yourself?

Yes

Name:

Address:

Telephone Number:

Date of complaint

Declaration: I understand that due to confidentiality, and in accordance with the Municipal Freedom of Information and Protection of Privacy Act and/or Personal Information and Protection of Electronic Documents Act, Cornwall and Area Housing Corporation may not be at liberty to discuss the actions taken as a result of this complaint. I understand that various staff may be consulted in order to resolve my concerns. Personal information on this form is being collected pursuant to the Housing Services Act, 2011, S.O. 2011, c.6, Sched 1. and will only be used for the purposes of compliant resolution.

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Tenant's Complaint Form