Form Builder

Required fields are marked with asterisks (*)

Request for Investigation by Integrity Commissioner

If you require this form in an alternative format please call 905.372.3329 ext. 2327.

The completed Complaint Form will be submitted directly to Northumberland County's Integrity Commissioner, Jeff Abrams/Janice Atwood-Petkovski, Principles Integrity. 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.

Do you hereby request the Integrity Commissioner for the County of Northumberland 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:

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif