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Alberta’s Public Interest Commissioner
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Alberta’s Public Interest CommissionerAlberta’s Public Interest Commissioner
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  • CONTACT
  • ABOUT
    • Role of the Commissioner
    • Meet the Commissioner
    • Financial Disclosure
      • Compensation
      • Travel and Hosting Expenses
  • EMPLOYEES
  • CHIEF & DESIGNATED OFFICERS
    • 2023 Alberta Public Interest Disclosure Conference
    • Employee Awareness
    • Establishing Procedures
    • Notification of Change Form
    • Training Materials
  • SUPERVISORS
  • MLAs
  • RESOURCES
    • Public Interest Disclosure (Whistleblower Protection) Act
    • 2018 Legislative Amendments
    • FAQs
    • Reports
      • Investigative Reports
      • Annual Reports
      • Case Summaries 2021-2022
      • Case Summaries 2020-2021
      • Case Summaries 2019-2020
      • Partially Exempted Agencies
    • Publications
    • News
    • Links
  • CONTACT

Complaint of Wrongdoing Form

  • DOES THIS APPLY TO ME?

    The Public Interest Disclosure (Whistleblower Protection) Act applies to employees of government departments, offices of the Legislature and public entities as prescribed in the Act's Regulations. Use this form to report wrongdoing to the Office of the Public Interest Commissioner.  If you are unsure about any section of this form please call 1-855-641-8659 or E-mail: [email protected]

    * indicates a required field.

  • Time Requirements

  • Type Of Wrongdoing

    *If none of the above, the Public Interest Disclosure Act does not apply. Consider internal department resolution mechanisms.
  • General Contact Information

  • While the Commissioner can accept anonymous complaints, you are encouraged to include your name and contact information. For more information about the advantages and disadvantages of making an anonymous complaint, contact our office.

  • Disclosure Details

  • Use this area to provide as much information as possible about the wrongdoing and the person(s)/organizations alleged to have committed the wrongdoing. Include if known the following details:

    • A description of the wrongdoing
    • If known, dates associated with the wrongdoing
    • Name and title of the alleged wrongdoer(s)
    • Name and title of any other parties involved
    • If available, contact information for the parties involved
    • The name of the Department, Office, or Public Entity where the wrongdoing occurred
    • If applicable, the specific division or business unit where the wrongdoing occurred
    • Whether you made a disclosure to your Designated officer, and if so, details of the response.
  • Drop files here or
    Accepted file types: jpg, jpeg, png, doc, docx, txt, pdf, Max. file size: 5 MB, Max. files: 3.
      - Individual files are limited to 5 MB.
      - Maximum of 3 file uploads.
      - Retain your copy of files you submit.
      - Acceptable formats include: jpeg, png, doc, docx, txt, pdf.
    Public Interest Commissioner
    Head Office:
    Public Interest Commissioner
    9925 – 109 Street, Suite 700
    Edmonton, Alberta T5K 2J8
    Toll Free
    1.855.641.8659
    Phone
    780.641.8659
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