Fillable Complaint Intake Form (College of Early Child Educators)

Fill Online, Printable, Fillable, Blank Complaint Intake Form (College of Early Child Educators) Form

Use Fill to complete blank online COLLEGE OF EARLY CHILD EDUCATORS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Complaint Intake Form (College of Early Child Educators)

On average this form takes 16 minutes to complete

The Complaint Intake Form (College of Early Child Educators) form is 5 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 65 other fields

Country of origin: CANADA
File type: PDF

Use our library of forms to quickly fill and sign your College of Early Child Educators forms online.

BROWSE COLLEGE OF EARLY CHILD EDUCATORS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Page 1 of 5
438 University Avenue, Suite 1900
Toronto ON M5G 2K8
Tel: 416 961- 8558 ext. 224
Toll-free: 1 888 961-8558
discipline@college-ece.ca
Complaint Intake Form
As part of its mandate, the College of Early Childhood Educators receives and investigates complaints against members
of the College. The complaint must relate to professional misconduct, incompetence or incapacity of a member in order
for the Complaints Committee to consider it. You may wish to refer to the definition of professional misconduct found in
the Professional Misconduct Regulation (Ontario Regulation 233/08) on the College’s website. The Complaints
Committee will refuse to consider and investigate a complaint, if in its opinion, the complaint is frivolous, vexatious or an
abuse of process.
Statement on Confidentiality
The College conducts its investigations discreetly and does not comment to the public on complaints that it receives. A copy
of the complaint and relevant documents are provided to the member so that she or he has an opportunity to respond to
the complaint. In addition, it may be necessary to disclose some information during the investigation when speaking to the
member’s supervisors and witnesses to the event. If the complaint is referred to the Discipline Committee for a public
hearing, information on the matter is made available to the public.
I wish to file a formal complaint with the College of Early Childhood Educators.
Your Name
Home address
Work address (optional)
E-mail
Home Telephone
Work/Cell
Telephone
What is the nature of your relationship with the member (parent of child under member’s care, supervisor,
colleague, etc.)?
Save Form
Print Form
Page 2 of 5
Member Information
(If your complaint is against more than one individual, please fill out separate forms for each.)
Name (please include College
registration # if known)
Home address (if known)
Work address
(if different from Workplace)
E-mail
Home Telephone
Work/Cell
Telephone
Workplace Information
Name
Address
E-mail
Workplace Telephone
Name of Supervisor
Name of Owner/ Parent
Organization
Incident(s) Information
Where did the incident(s) occur (infant room, staff room, playground, etc.)?
When did the incident(s) occur (time and date)?
Save Form
Print Form
Page 3 of 5
Please describe as clearly and concisely as possible the incident(s) and the conduct that, in your opinion,
constitutes professional misconduct, incompetence or incapacity. Attach and label additional sheets if necessary.
Were others involved in the incident (include first and last names)? If the incident involves a child, please give the
child’s age, date of birth, and relationship to you.
Please describe what steps if any, were taken at the local level to resolve this matter. What was the outcome of this
incident within the Workplace (suspension, termination, internal investigation, etc.)?
Save Form
Print Form
Page 4 of 5
Additional Contacts (if applicable)
Name of Program Advisor with
the Ministry of Education
Work address (if known)
E-mail
Work Telephone
Involvement/Action Taken
Name of Children’s Aid Society
official
Work address (if known)
E-mail
Work Telephone
Involvement/Action Taken
Name and badge # of police
official
Work address (if known)
E-mail
Work Telephone
Involvement/Action Taken
Other (please specify)
Work address (if known)
E-mail
Work Telephone
Involvement/Action Taken
If the police have been contacted regarding this incident, please answer the following:
To your knowledge have criminal charges been laid against the Member? ☐Yes ☐No
If yes, please provide the following information:
Offences charged
Date charges laid
Police Service (OPP, municipal
force, etc.)
Contact Name
Address
Telephone
Save Form
Print Form
Page 5 of 5
Supporting Documentation
In order for the College to successfully complete its investigation, it is important that you submit any supporting
documentation along with your notification or report. This may include:
relevant policies
e-mails
serious occurrence reports
employment termination letters
verbal/written warnings
pictures, video footage
witness statements
any other information you feel may be relevant to the investigation or useful for the Complaints Committee d uring its
deliberation
If the College requires any information that is not included with this complaint you will be contacted. However, delays
in arriving at a complaint resolution will be avoided if you provide this information at the time when you send in the
complaint intake form.
If you provide any supporting documentation, please ensure it is properly labelled and explain its relevance to your
complaint.
Complaint Resolution
Please indicate how this matter could be resolved to your satisfaction.
By typing/printing my name below, I understand that I am submitting a complaint to the College regarding the
Member named on this form. I further understand that a copy of this complaint will be provided to the Member, which
will include the disclosure of my name to the Member. I also confirm that I have completed all relevant fields in this
Complaint Intake Form and have included all relevant information and supporting documents for submission to the
College.
Your Name: Date:
Please complete this form and submit it in one of the following ways:
By e-mail:
discipline@college-ece.ca
By mail:
Office of the Registrar
c/o Professional Regulation Department
College of Early Childhood Educators By fax:
438 University Avenue, Suite 1900 416 961-6995
Toronto, ON M5G 2K8
Save Form
Print Form
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Complaint Intake Form (College of Early Child Educators)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 19 April 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document