Human rights forms

Various forms may be needed as part of the complaint process. Please find below our forms relating to Canadian Human Rights Act complaints.

Note:

Each form is available in three formats: HTML, Word and PDF. Select the format that meets your needs. HTML is best if you use a screen reader. When completing a form in PDF format, you may not be able to see certain field boxes using some browsers. If that is the case, we recommend trying another browser or saving the PDF to your desktop and opening it with a PDF reader to complete it.

Should you have any difficulties with these forms, please contact the Registry Office or the officer who is handling your case.

Form name

Formats

Mediation form

HTML

Word

PDF

Mediation agreement

HTML

Word

PDF

Adjudication-mediation agreement

HTML

Word

PDF

Request to withdraw a complaint

HTML

Word

PDF

Party information form

HTML

Word

PDF

Record of appearance (hearings)

HTML

Word

PDF

Record of appearance (mediation)

HTML

Word

PDF

Request for summons

HTML

Word

PDF

Request for access: Canadian Human Rights Tribunal official record or document(s)

HTML

Word

PDF

How to fill out and send us your form

Follow these steps to fill out and send us your form.

Step 1: How to fill out your form

  • The forms are available in three formats: PDF, Word and HTML
    • Select the format you prefer. 
    • If you want to save a copy of the form and continue filling it out later, use the PDF or Word form.
    • If you use a screen reader, use the HTML form
  • You can fill out the form electronically or print the blank form and fill it out with a pen
  • If you fill out the form electronically, the information you enter in the form won't be saved online. You need to save the form to your own computer or device or else the information you enter will be lost.

Can’t open the form? Right click the link and select “Save target as...” to download the form to your computer. If you still have issues, contact us and we’ll help you get the form.

Save your form as a file you can attach to an email:

  • If you filled out the HTML form electronically, click the “Print to PDF” button, then look for a “Print” option. Save the PDF version of your completed form to your desktop or mobile device.
  • If you filled out the PDF or Word version electronically, save the completed form to your desktop or mobile device.
  • If you filled out the form by hand, use a scanner or a scanning app to scan the form, then save the completed form to your desktop or mobile device.

Step 2: How to send your form

Send us your form by email, mail or fax. Email is fastest.

Keep a copy of your form for your records.

Email

registry.office@chrt-tcdp.gc.ca

Attach your form to an email and send it to us.

Mail

240 Sparks Street, 4th Floor West
Ottawa, ON K1A 0X8

Mail us your form and any supporting documents.

Fax

1-613-995-3484

Fax us your form and any supporting documents.