Version 2.1

BEFORE you start, please read:

  1. If you do not wish or are unable to complete this form electronically, please refer to the printable forms here.

  2. A copy of your form, as well as any supporting documentation, will be forwarded to all parties. At the end of this form, you will be required to read and sign a declaration stating that you understand how information you provide in the context of this submission will be treated by the FPSLREB (the Board).

  3. If you choose to include personal, confidential or medical information with your submission or supporting documentation, be advised that all the information and supporting documents received will be forwarded to all parties.

  4. Complete all parts of this form. If your form is not complete, this may slow down the processing of your submission.

FPSLREB Header Information

Information About The Filing Party
Notice: The filing party is the individual (or organisation) that is submitting a complaint, grievance or application to the Board for resolution. If you are completing this form on behalf of someone else, as their representative, please enter your contact information in the "Information About The Representative" section.

Notice: The Board communicates with parties through email whenever possible. Please provide an email address that can be disclosed to all parties.

Mailing Address

The mailing address provided will be disclosed to all parties. If possible, please provide a work address.

Which official language should the Board use in correspondence concerning this matter? (required)

Is the Filing Party unionized?

Is the Filing Party represented? (choose No if the Filing Party is self-represented)