"Notice of Complaint Under the Status of the Artist Act" - Canada

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NOTICE OF COMPLAINT UNDER THE
NOTICE OF COMPLAINT UNDER THE
STATUS OF THE ARTIST ACT
STATUS OF THE ARTIST ACT
I. Complainant
Name:
_____________________
__________________________________________________________________
___________________________________________________
Address:
___________________
________________________________________________________________
___________________________________________________
Email Address:
______________
___________________________________________________________
___________________________________________________
Telephone Number:
__(____)_______________
__(____)______________________________________________________
____________________________________
Fax Number:
__(____)___________________________________________________________
__(____)___________________________________________________________
__(____)___________________________________________________________
II. Complainant’s Authorized Representative
II. Complainant’s Authorized Representative
Name of Representative:
_________________________________________________________
_________________________________________________________
_________________________________________________________
Address:
___________________
________________________________________________________________
___________________________________________________
Email Address:
______________
___________________________________________________________
___________________________________________________
Telephone Number:
__(____)______________________________________________________
__(____)______________________________________________________
__(____)______________________________________________________
Fax Number:
__(____)___________________
__(____)___________________________________________________________
________________________________________
III. Respondent
Name of the person(s) or organization(s) against whom the complaint is being made:
Name of the person(s) or organization(s) against whom the complaint is being made:
Name of the person(s) or organization(s) against whom the complaint is being made:
_________
Address:
___________________
________________________________________________________________
___________________________________________________
Email Address:
______________
___________________________________________________________
___________________________________________________
Telephone Number:
__(____)___
__(____)______________________________________________________
________________________________________________
Fax Number:
__(____)___________________________________________________________
__(____)___________________________________________________________
__(____)___________________________________________________________
(RDCMS# 414512 - Date revised: 2013)
NOTICE OF COMPLAINT UNDER THE
NOTICE OF COMPLAINT UNDER THE
STATUS OF THE ARTIST ACT
STATUS OF THE ARTIST ACT
I. Complainant
Name:
_____________________
__________________________________________________________________
___________________________________________________
Address:
___________________
________________________________________________________________
___________________________________________________
Email Address:
______________
___________________________________________________________
___________________________________________________
Telephone Number:
__(____)_______________
__(____)______________________________________________________
____________________________________
Fax Number:
__(____)___________________________________________________________
__(____)___________________________________________________________
__(____)___________________________________________________________
II. Complainant’s Authorized Representative
II. Complainant’s Authorized Representative
Name of Representative:
_________________________________________________________
_________________________________________________________
_________________________________________________________
Address:
___________________
________________________________________________________________
___________________________________________________
Email Address:
______________
___________________________________________________________
___________________________________________________
Telephone Number:
__(____)______________________________________________________
__(____)______________________________________________________
__(____)______________________________________________________
Fax Number:
__(____)___________________
__(____)___________________________________________________________
________________________________________
III. Respondent
Name of the person(s) or organization(s) against whom the complaint is being made:
Name of the person(s) or organization(s) against whom the complaint is being made:
Name of the person(s) or organization(s) against whom the complaint is being made:
_________
Address:
___________________
________________________________________________________________
___________________________________________________
Email Address:
______________
___________________________________________________________
___________________________________________________
Telephone Number:
__(____)___
__(____)______________________________________________________
________________________________________________
Fax Number:
__(____)___________________________________________________________
__(____)___________________________________________________________
__(____)___________________________________________________________
(RDCMS# 414512 - Date revised: 2013)
CANADA INDUSTRIAL RELATIONS BOARD
2
Notice of Complaint under the Status of the Artist Act
IV. Details of the Complaint
Give a factual description of the events which form the basis for the complaint (use additional
sheets if necessary):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
What provision(s) of the Status of the Artist Act do you feel have been contravened?
subsection 32(a)
subsection 32(b)
section 35
section 50 - specify subsection(s):
_________
section 51 - specify subsection(s):
_________
section 52
On what date did you first know of the actions or the circumstances forming the basis for the
complaint?
____________________________________________________________________
V. Resolution Sought
What steps have already been taken to try to resolve this complaint? (use additional sheets if
necessary):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
In your opinion, what would be the best resolution of this complaint (i.e. what corrective action
do you feel is required)? (use additional sheets if necessary):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
CANADA INDUSTRIAL RELATIONS BOARD
3
Notice of Complaint under the Status of the Artist Act
IV. Language of Choice for Board Proceedings
English
French
Bilingual
I hereby certify that the facts set out in this complaint are true to the best of my knowledge.
Signature of Applicant
__________________________________
Date:
_________________
The personal information provided on this form is collected solely for the purpose of administering the Status of the Artist Act
and may be accessed by contacting the Board. The information may appear in the Board's written reasons for decision which may
be posted on the Board’s Website.
Send a copy to the respondent.
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