1-200 Burwell Rd, St. Thomas, ON N5P 4G6

EASTWOOD HOUSING

Complaint Form

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All fields must be completed with valid information for action to be taken. If fields are left blank or false information is provided, no action will be taken. All information is kept confidential within our offices.


Today's Date

First Name

Last Name

Complaint First Name

Complaint Last Name

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Date & Time of Incident