Incident Report Form

To address your concerns, please complete this form and direct it to the:

Onsite staff

Tenant relations staff

Property Manager

We cannot investigate this issue unless your report is completed in full. Your name will be held in confidence unless this matter is subject to Dispute Resolution under the Residential Tenancy Act, a court action, or a police investigation.

First Name

Last Name

Address

City/Town

Province

Postal Code

Date of Incident

Time of Incident

Phone Number

Describe the incident. Please be as specific as possible regarding who, what, when, where; include the name, unit # of the other tenant{s] and/or staff involved. Please state only the facts, not your assumptions, opinions, and/or judgements.

Were there any witnesses?

Yes

If yes, who?

Was a Police Report Filed ?

Yes

If yes, please provide the Police File #

How did you handle the problem?

Did you talk to the person involved?

If so, what was their response?

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Territorial Acknowledgement

The CRD conducts its business within the Territories of many First Nations, all of whom have a long-standing relationship with the land and waters from time immemorial that continues to this day. Statement of Reconciliation

Incident Report Form

Territorial Acknowledgement

Walk-in Address:

Mailing Address:

Office Hours:

General Inquiries:

After Hours Emergencies:

Incident Report Form

Feedback details

Territorial Acknowledgement

Walk-in Address:

Mailing Address:

Office Hours:

General Inquiries:

After Hours Emergencies: