Required fields are marked with asterisks (*)

Municipal Election Concerns Form

Complete this form to submit a concern to the Municipality of Clarington about municipal election administration. If the concern involves multiple individuals/groups, submit a separate form for each individual/group. For concerns about contributors, please follow the Municipal Compliance Audit process.

Note: The Clerk will not pursue a matter if the form lacks sufficient detail, evidence, or jurisdictional basis, or if it appears frivolous, vexatious, made in bad faith, or for a purely political purpose.

Name

Address

Postal code

Phone number

Email address

Details of the concern

Details of the concern. Check all that apply.

Candidate or agent

Elector

Registered Third Party or agent

Other

Name of the individual or group that the concern is about

Please identify the section(s) of the Municipal Elections Act or Municipality of Clarington Policy, By-law, or procedure that you believe has been contravened:

List the date(s), time(s), location(s), website or social media links, or other details of when and where the contravention occurred.

Describe the concern in detail. Include the facts, what occurred, who was involved, how it relates to the selected category.

Upload any documents, photos, screenshots, audio or video recordings, witness information, or other evidence that may assist in the Clerk’s review. You can upload up to two files. Maximum upload size is 15MB total.

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, mp4, .mov, mp3

I will be sending additional files to votes@clarington.net

Yes

Personal information on this form is collected under the authority of the Municipal Elections Act, 1996 and will be and will be used for receiving concerns regarding alleged contraventions of the Municipal Elections Act, Municipality of Clarington policies, and/or by-laws relating to the municipal elections. Questions regarding the collection of personal information should be directed to the Municipal Clerk, 40 Temperance Street, Bowmanville, ON L1C 3A6, 905-697-4747 or votes@clarington.net.

Confirmation statement

By submitting this form, you declare that the information provided is true to the best of your knowledge and belief, and that you are requesting that the Municipal Clerk review the concern in accordance with the applicable Acts, Policies, By-laws, or Procedures. You understand that submitting this form does not require the Clerk or the Municipality of Clarington to investigate or take action, and that the Clerk may determine the appropriate response, if any, based on the nature of the concern and the applicable legislation, by-laws, policies, and procedures. Additionally, you understand that the information contained on this form may be shared with the appropriate authorities should the matter need to be forwarded elsewhere.