Test Online Complaint Form

Contact Considerations

The Alberta Ombudsman's office hours are Monday - Friday, 8:15am - 12 noon and 1:00pm - 4:00pm.
What is the best time to contact you?

1. Which department, agency or organization is your complaint about? Please specify by name.*

2. Who have you dealt with at the authority? Please list any names, phone numbers, addresses if possible. If none please enter the word "none".*

3.(c) Please indicate any file or reference numbers, claim numbers or account numbers. If none, please enter the word "none".*

4.(a) Did you file an appeal or apply for a review? If yes, when was the last appeal or review and what was the result? If no, please state No in the box.*

4. (b)You may attach a copy of the results of the review/appeal to help us understand your complaint.
Accepted file types: jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx, txt.

5. (b)You may attach a copy of the results of the review/appeal to help us understand your complaint.
Accepted file types: jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx, txt.

7. If your complaint is more than 12 months old, please explain the reasons for the delay in making a complaint.

Supplementary File 1
Accepted file types: jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx, txt.
Supplementary File 2
Accepted file types: jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx, txt.
Supplementary File 3
Accepted file types: jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx, txt.
Final Steps
When you are ready, please fill out the captcha and then press the "Send Form" button. It may take a few moments for the form to finish submitting, so please be patient. You will be redirected to a new page after the form has submitted successfully.
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