Required fields are marked with asterisks (*)

Staff or Service Compliment Form

Purpose

To submit a compliment regarding a program, service, facility, or staff member, where you believe that the Municipality has provided a service experience that exceeds your satisfaction at the point of service delivery.

All compliments will be received in confidence according to the Municipal Freedom of Information and Protection of Privacy Act.

How did you interact with us?

In person

Phone

On what date was your visit or interaction?

What was the approximate time of your visit or interaction?

Morning

Afternoon

Evening

Name of staff person(s) involved, if known.

Briefly provide your comments.

Would you like us to follow up with you?

Yes

Collection of data disclaimer

Personal information contained on this form is collected under the authority of the Municipal Act, 2001, S.O. 2001, c. 25. The information will be used to respond to your complaint. Questions about this collection can be directed to the Municipal Clerk, 40 Temperance Street, Bomanville, ON L1C 3A6, 905-623-3379.

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Staff or Service Compliment Form

Purpose

Collection of data disclaimer