Ombudsman Service Procedure
Respondent Appeal

    All fields are mandatory unless otherwise indicated.

    Your Name:
    first name
    middle name/initial (optional)
    last name

    Your Email:
    Your email address will only be used to contact you in relation to your Appeal. If your email address changes, please email ombudsman-service@ircmcic.org with updated details, with your name in the Subject line.

    Your Telephone Number:
    Your telephone will only be used to contact you in relation to your Appeal.

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    APPEAL:
    What are you appealing against?

    What was the date of your Notice of Resolution or Outcome of Formal Complaint or Outcome of Formal Complaint Sanctions: (DD/MM/YYYY)

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    REASON FOR YOUR APPEAL:

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    NEW EVIDENCE OF A SIGNIFICANT NATURE:

    Will this new evidence change the outcome of your Notice of Resolution or Outcome of Formal Complaint or Outcome of Formal Complaint Sanctions?:

    What was the reason this evidence was not submitted during the progression of your Request for Facilitation or Formal Complaint?

    Please provide full details of the new evidence:

    How will this evidence change the Notice of Resolution or Outcome of Formal Complaint or Outcome of Formal Complaint Sanctions?

    If you have documentation to support your Appeal, please upload the documentation (optional).

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    WHAT DO YOU EXPECT FROM THIS APPEAL?

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    ADDITIONAL INFORMATION:
    Please enter any Additional Information relevant to your completed Resolution or Outcome. (optional)

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    Version 5: November 2021

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    Currently, all information provided by and correspondence with the IRCM CIC is in English.