Issue Submission

    Contact Information*:

    Name*:

    Street Address*:

    .

    City*:

    Postal/Zip Code*:

    Phone Number*:

    Alternate Phone Number:

    Email*:

    Participant Information

    Student Licence Number*:

    Student Name*:

    Date of Birth*:

    Lesson Information

    Trainer Name*:

    Location of incident*:

    Lesson Date*:

    Lesson Time*:

    Issue Details and Resolution

    Please describe below the nature of your complaint. Include as much relevant detail as possible (i.e., what happened, how and where, did you talk to the instructor about the situation what was said?)*:

    What do you suggest as a solution to the issue, how can we improve?*:

    Personal information provided on this form is collected pursuant to s. 26 of the Freedom of Information and Protection of Privacy Act. The personal information will be used to process and respond to your complaint. Should you have any questions about the collection of information, please contact us.

    Feedback & Complaint Policy