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Request for Investigation by Integrity Commissioner

If you require this form in an alternative format please call 705.286.1333 x223

The completed Complaint Form will be submitted directly to The County of Haliburton's Integrity Commissioner, Harold Elston. This form is confidential and will not be shared with County staff. There is no fee for submitting a request.

This form should be completed if you have reasonable and probable grounds to believe that Member(s) of County Council have contravened the County Council Code of Conduct and/or the Municipal Conflict of Interest Act.

Your Full Name:

Your full mailing address:

Your e-mail address:

Your phone number:

Do you hereby request the Integrity Commissioner for the County of Haliburton to conduct an inquiry about whether or not Member(s) of County Council has contravened the County Council Code of Conduct or the Municipal Conflict of Interest Act:

Yes

Please provide complaint details (including name of Council Member(s), date, time and location of conduct, rules contravened, names of all persons involved, witnesses, and contact information for witnesses)

Please attach copies of documents and records relevant to the requested inquiry.

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