Filing of a complaint

Step

Complainant Information

Last name *

First name *

E-mail address *

Address

Phone

City

Postal code

Province Select a province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

Relationship to the deceased

Link Select link Family Friend Government departement Hospital Insurance Company Investigator Lawyer Media Notary Organization Spouse Other

If other, specify

Identity of deceased

Last name

First name

Place of death

Date of death

Coroner's name

Coroner's case number

Complaint

Reason * Select a reason Regarding the behavior of a coroner Regarding the behavior of an office employee Delay in producing an investigation or inquiry report Disagreement with the content of a report Other

If other, specify

Did you discuss the situation with the coroner in charge of the case before filling out this form? Select an option Yes No Not applicable

Date of incident

Formulating a complaint