Complaint Form/affidavit

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APPENDIX 1
COMPLAINT FORM/AFFIDAVIT
AFFIDAVIT OF _____________________________________________________________[Full
Name]
I, ____________________________________________[Full Name], of the [City, Town, etc] of
__________________________________________ [Municipality of residence]in the Province of
Ontario
MAKE OATH AND SAY [or AFFIRM]:
1. I have personal knowledge of the facts as set out in this Affidavit, because:
_______________________________ *insert reasons e.g. I work for…. I attended the meeting
at which…etc.+
2.I have reasonable and probable grounds to believe that a Member of Windsor City Council or
of a City committee, board, agency, or commission that is subject to the Code of
Conduct for Members of Council and Local Boards (Restricted Definition) (hereinafter
the “Code of Conduct”),
_______________________________________ [specify name of Member], has contravened
section(s)
_______________________________________ [specify section(s) of the Code of Conduct for
Members of Council (the “Code of Conduct”). The particulars of which are as follows:
[Set out the statements of fact in consecutively numbered paragraphs in the space below, with
each paragraph being confined as far as possible to a particular statement of fact. If you require
more space, please use the attached Schedule A form and check the appropriate box below. If
you wish to include exhibits to support this Complaint, please refer to the exhibits as Exhibit A-1,
A-2, etc. and attach them to this Affidavit.]

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