Feedback and Incident Reporting

Do you have specific feedback or concerns about an incident or situation requiring attention?

Please submit, within 15 days of the incident, a detailed accounting of events. Include relevant details such as date, time, location, people present, and a description of what occurred. Please remain factual and include any supporting documentation as appropriate.

Complete form below, which will be sent to the Feedback & Discipline Coordinator.

CPSAC Members please see Policy 4 regarding Conflict Resolution and Discipline. Complete the form below as required.

I am a(n):

This in regards to a(n):

Was this incident witnessed by anyone? If so who, and may we contact them for more information? Provide contact information if applicable.

Incident description:

Supporting documentation (if any):

If you have more than two files to submit please email directly to feedback@cpsac.org.