Complaint Regarding a Service Provided by the CCQ

The fields marked with an asterisk (*) must be filled in.

Section 1: Personal information

First Name

Last Name

CCQ client number or CCQ employer number, if applicable

Telephone

Telephone (other)

To reach you Monday to Friday between 8:30 a.m. and 4:30 p.m.

Email (to be provided if you prefer this type of communication) Identification If other, specify

Reason for you complaint Quality of service received Processing of my file Other

If other, specify Description of your complaint

Please describe the reasons for your complaint – for example, why you are dissatisfied with our services or the processing of your file.

How would you like the CCQ to follow up on your complaint?

Please tell us what change you are hoping for in submitting your complaint.