INFORMAL INCIDENT REPORTING FORM

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Informal complaints are intended to deal with minor infractions of the applicable Code of Conduct. Examples would include disrespectful conduct that does not reach the level of bullying, harassment or abuse, but is still not conduct that accords with SPKAC’s goals of respect, tolerance, fair play, equality and diversity.

In the case of an informal complaint, the complainant will not be advised of the outcome. A letter will go to the person(s) complained of, outlining that a complaint has been made, the matter complained about, and recommended steps to resolve the complaint. Note that in the case of an informal complaint, the complainant will not be identified.

Please be sure to review the SPKAC Codes of Conduct and the Conduct Discipline Procedure before submitting your report.

Your Name *

Your Email Address *

Your Phone Number *

Date of Incident *

YYYY

Time of Incident *

Time

Location of Incident *

Name(s) of Offending Individual(s) *

Team Associated With (Division & Team Name) *

Who else has been notified of this incident, if any? *

Detailed Description of Incident *

Please provide a clear, fact-based description of the actions or statements witnessed. Should you wish to provide additional information, some questions that may help prepare this report include: What was the nature of the incident? Were any steps taken to address the incident? What could be done in the future to avoid the incident? What were the actions or statements regarding?

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This form was created inside of Sherwood Park Minor Hockey.