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Please complete the following and forward to the attention of:

The Registrar
Ontario College of Teachers
101 Bloor Street West
Toronto ON M5S 0A1
Telephone 416-961-8800, ext. 582
ih@oct.ca

Toll-free in Ontario 1-888-534-2222, ext. 582

As part of its mandate, the Ontario College of Teachers investigates complaints against
members of the College. A member is defined in section 14(1) of the Ontario College of
Teachers Act as:
Every person who holds a certificate of qualification and registration is a
member of the College, subject to any term, condition or limitation to which the
certificate is subject.
The Investigation Committee must refuse to consider and investigate a complaint if, in its
opinion, a complaint does not relate to professional misconduct, incompetence or
incapacity or if the complaint is frivolous, vexatious or an abuse of process.
Confidentiality
The College does not comment on complaints or investigations unless they are referred
for a public hearing. The College does this to protect the complainant and the member
who is the subject of the complaint.
Kindly provide as much of the requested information as possible concerning your
complaint. Please attach additional sheets if more space is required.
I wish to file a formal complaint with the Ontario College of Teachers, and the
following information will support my claim:
Complainant Information
Your name ______________________________________________________________
Address ________________________________________________________________
Email address ____________________________________________________________
Telephone ________________________ Alternate telephone _____________________
(Note: Your signature with date is required on page 6 of this form.)

What is the nature of your relationship with the member (parent of child in members
class, former student, colleague, etc.)?
________________________________________________________________________
________________________________________________________________________

Member Information
Members first and last names_______________________________________________
Members position

______________________________________________________

Address (if known)

______________________________________________________

________________________________________________________________________
Telephone (if known) _____________________________________________________

School Information
Name of school __________________________________________________________
Address ________________________________________________________________
_______________________________________________________________________
Telephone _______________________________________________________________

If the member complained about is a classroom teacher, indicate the full name of the
principal at the school where the member teaches:
________________________________________________________________________
________________________________________________________________________
School Board / Employer Information, if applicable
School board ____________________________________________________________
Address (if known) _______________________________________________________
_______________________________________________________________________
Telephone (if known) _____________________________________________________

Incident Information
Describe as clearly and concisely as possible the conduct that, in your opinion,
constitutes professional misconduct, incompetence or incapacity.
Describe the incident that prompted you to make this complaint. (Attach additional
sheets, if necessary.)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Where did the event/incident occur? (dates, time period, location)


________________________________________________________________________
________________________________________________________________________

Who was involved in the event/incident? If the incident involves a student, please give
the students age, grade, date of birth and relationship to you.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Please provide as much detail as possible related to your complaint. If you require
additional space you may attach additional pages to this form.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3

Please describe the conduct and explain what impact this conduct has had on the affected
person.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Indicate how this matter could be resolved to your satisfaction.


________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Steps Taken at the Local Level
Name of teacher contacted _________________________________________________
Outcome/response ________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Name of principal contacted ________________________________________________
Outcome/response ________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
4

Names of school board officials contacted _____________________________________


________________________________________________________________________
Outcome/response ________________________________________________________
________________________________________________________________________
________________________________________________________________________
______________________________________________________________________________

Name of police service (ex. OPP, municipal police force) _________________________


________________________________________________________________________
Name and badge number of police officer contacted (if applicable) __________________
________________________________________________________________________
________________________________________________________________________
Outcome/response ________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Name of Childrens Aid Society worker contacted (if applicable) ___________________


________________________________________________________________________
Outcome/response ________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Complete the following only if you have contacted police


To your knowledge, have any criminal charges been laid against the member in relation
to this complaint?
Yes

If yes, please provide the following information


Offences charged ________________________________________________________
Date ___________________________________________________________________
Police service (ex. OPP, municipal police force) ________________________________
Address ________________________________________________________________
_______________________________________________________________________
Telephone number _______________________________________________________
Contact name ___________________________________________________________

Have you attached s

No

If yes, please list or describe.


________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Please ensure that this form is complete and provide as much of the requested
information as possible. If you require additional space, please attach supplementary
sheets. Please complete all sections of the form even if sending attachments. The
College recommends that you keep a photocopy of the completed form for your records.

Signature __________________________________

Date _____________________

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