Municipal Law Enforcement Division
Comment / Concern Form
All complainant information must be completed, dated and signed. Investigations will not be
conducted on incomplete forms. Complaint forms may be submitted in person, by fax, email and
regular mail to the Township Administration Centre.
Date: _____________________________ Time: ___________________________________
Name (print): ___________________________________________________________________
Address: ______________________________________________________________________
Phone (Home): ______________________ Cell: ___________________________________
Email: ________________________________________________________________________
Address of Concern: _____________________________________________________________
Owner (if known): _______________________________________________________________
Comment / Concern (please attach additional pages if required):
Signature: _____________________________________________________________________
(Not required if sent via electronic mail)
Personal information contained in this Form is collected under the authority of the Municipal Act, 2001, S.O.
2001, c.25, as amended, and will only be used for the purposes for which it was collected. Questions about
this collection of information should be directed to the Municipal Law Enforcement Division, 148 Line 7
South, Oro-Medonte, ON L0L 2E0.
