Complaint Form – Anonymous Submission

Key Information

Please review the following instructions to download the forms

To be able to fill in and save a PDF form (Fillable/saveable version), download and then open the form using the free Adobe Reader.

  1. Hover over the form name with your mouse
  2. Right-click and select “Save link as” to save the form. This will allow you to save the form in a location of your choosing (file folder, etc.). Note: Do not use the browser’s “Open” feature.
  3. Once saved, go to the location where you saved the form.
  4. Hover over the form name with your mouse
  5. Right-click and select “open with…” and in the menu select “Adobe Acrobat Reader

Use this form if you want to submit a complaint to FSRA without disclosing your name. Make sure to provide all relevant information to investigate your complaint as we will not be able to contact you for questions or clarification. If you want to provide your name in the complaint which allows FSRA to contact you, use complaint form GF-012.

Form details

Form number: GF-013
Form title: Complaint Form – Anonymous Submission
Sector: General Regulatory
Purpose of form:

This document allows consumers and industry members to submit complaints to FSRA regarding individuals or entities licensed within the sectors regulated by FSRA without disclosing their name.

Last update: 2025-02-10