Ombudsman Service Procedure
Step 2: Raising a Formal Complaint Form

    All fields are mandatory unless otherwise indicated.

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

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

    Telephone number:
    Your telephone number will only be used to contact you in relation to your Formal Complaint.

    Address:
    Country
    Address
    City/Town
    County/State
    Post code/Zip code

    RELATIONSHIP BETWEEN THE COMPLAINANT AND RESPONDENT:

    Complainants relationship with the Respondent:

    RESPONDENT'S CONTACT DETAILS:

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

    Organisation name (optional):

    Email:
    This email address will only be used to contact the other party in relation to your Formal Complaint.
    If this email address changes, please email ombudsman-service@ircmcic.org with your name in the Subject line detailing the updated details.

    Telephone number:
    This telephone number will only be used to contact the other party in relation to your Formal Complaint.

    Address:
    Country
    Address
    City/Town
    County/State
    Post code/Zip code

    Other Parties Name and Contact details:
    If there is more than one other involved, please email ombudsman-service@ircmcic.org with your name in the Subject line, providing the full name, relationship within this grievance, and full contact details.

    REASON FOR YOUR REQUEST FOR FORMAL COMPLAINT:
    Please select the relevant Code of Conduct/Core Competency heading(s) and provide further details including clause references, in the box below.
    Please use the CTRL key to select more than one option.

    Coaching and Mentoring Code of Industry Standards and Ethics

    Coaching and Mentoring Industry Core Competencies

    Further details:

    FURTHER INFORMATION:

    Has this grievance been raised as a Request for Facilitation and Discussion with the Respondent?

    Has this grievance been raised as a Request for Facilitation and Discussion with another organisation?

    Has this grievance been raised as a Formal Complaint with the Respondent?

    Has this grievance been raised as a Formal Complaint with another organisation?

    Is this grievance the subject of a Court Case?

    FURTHER DETAILS ABOUT YOUR REQUEST FOR FORMAL COMPLAINT:
    In the fields below, please:
    - provide a summary of how this Formal Complaint came about.
    - explain the event that led to this Request for Formal Complaint.
    - explain the actions of both the Complainant and the Respondent that led to this Formal Complaint.
    - provide an explanation of the type(s) of communication between the Complainant and the Respondent.
    - any further relevant information.

    Summary:

    Events:

    Actions of Complainant:

    Actions of Respondent:

    Communication between Complainant and Respondent:

    What was the point at which you decided that you needed to contact the Ombudsman Service?:

    If you have documentation to support your Formal Complaint, please upload the documentation (optional). If you wish to forward your supporting information by email, please email ombudsman-service@ircmcic.org with your name in the Subject line.

    Any further relevant information?
    Please enter ‘none’ if there is no further relevant information.

    PREFERRED OUTCOME:
    What are you expecting as a resolution to your Formal Complaint?

    ADDITIONAL INFORMATION:
    Please enter any Additional Information relevant to your Formal Complaint (optional)

    How did you hear about the Ombudsman Service?

    Ombudsman Service Procedure Step 2

    click here to return to Step 2: Formal Complaint Procedure

    © 2021 International Regulator of Coaching and Mentoring CIC. All Rights Reserved
    Version 5: November 2021

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