Aoda Customer Feedback Form Record Of Verbal Complaint

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AODA CUSTOMER FEEDBACK FORM
RECORD OF VERBAL COMPLAINT
made pursuant to the provisions of the Residential Tenancies Act, 2006, S.O. 2006, c.17 (hereinafter the “R.T.A.”)
and the Accessibility for Ontarians with Disabilities Act, 2005, S.O. 2005, c. 11 (hereinafter the “AODA”
This AODA Customer Feedback Form is  Federation of Rental-Housing Provisions of Ontario, 2011
Person Recording Complaint: _____________________ Date of Complaint: _________________
Location of Incident: ____________________________ Date of Incident: ___________________
Complainant:
Tenant
Resident
Prospective Resident
Guest
Other: _____________
Complainant Contact Information (Optional):
Name: _____________________________________
Phone Number: __________________
E-mail: ____________________________________
Fax Number: ____________________
Address:
_______________________________________________________________________________
(Suite No.)
(Address)
(City)
(Province)
(Postal Code)
Details of the Complaint: Please attach additional sheets if required.
Details of Follow-up with Complainant:
Further Action to be Taken:
RECORD OF VERBAL COMPLAINT RECEIVED BY AODA COMPLIANCE OFFICER ON:
__________________________

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