{"id":543,"date":"2026-01-05T18:35:51","date_gmt":"2026-01-05T18:35:51","guid":{"rendered":"http:\/\/hykaz.net\/securities\/enforcement\/investigations\/complaint-form\/"},"modified":"2026-01-05T21:46:31","modified_gmt":"2026-01-05T21:46:31","slug":"complaint-form","status":"publish","type":"page","link":"https:\/\/hykaz.net\/fr\/enforcement\/investigations\/complaint-form\/","title":{"rendered":"Complaint Form"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Download the complaint form\u00a0<a href=\"https:\/\/themfsa.ca\/wp-content\/uploads\/2024\/02\/complaint_form-final-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">here<\/a>.<\/p>\n\n\n<div class='fluentform ff-default fluentform_wrapper_4 ffs_default_wrap'><form data-form_id=\"4\" id=\"fluentform_4\" class=\"frm-fluent-form fluent_form_4 ff-el-form-top ff_form_instance_4_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_4_1\" method=\"POST\" action=\"\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Securities - Complaint Form<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='543' \/><input type=\"hidden\" id=\"_fluentform_4_fluentformnonce\" name=\"_fluentform_4_fluentformnonce\" value=\"f1d221673d\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/543\" \/><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-4_1\" ><h2>Securities Complaint Form<\/h2><\/div><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='' id='label_' aria-label=\"Select one (or more) relevant categories:\">Select one (or more) relevant categories:<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='select_one_or_more_relevant_categories_d691cad7dd661b74285621adbb2393d1'><input  name=\"select_one_or_more_relevant_categories[]\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" type=\"checkbox\" data-name=\"select_one_or_more_relevant_categories\" value=\"Securities\"  id='select_one_or_more_relevant_categories_d691cad7dd661b74285621adbb2393d1' aria-label='Securities' aria-invalid='false' aria-required=\"false\"> <span>Securities<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='select_one_or_more_relevant_categories_6760bb20f61b7dc82728f6b1c1bbde96'><input  name=\"select_one_or_more_relevant_categories[]\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" type=\"checkbox\" data-name=\"select_one_or_more_relevant_categories\" value=\"Commodities\"  id='select_one_or_more_relevant_categories_6760bb20f61b7dc82728f6b1c1bbde96' aria-label='Commodities' aria-invalid='false' aria-required=\"false\"> <span>Commodities<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='select_one_or_more_relevant_categories_611f50c651638d5147fdedb8b24b8861'><input  name=\"select_one_or_more_relevant_categories[]\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" type=\"checkbox\" data-name=\"select_one_or_more_relevant_categories\" value=\"Real Estate\"  id='select_one_or_more_relevant_categories_611f50c651638d5147fdedb8b24b8861' aria-label='Real Estate' aria-invalid='false' aria-required=\"false\"> <span>Real Estate<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='select_one_or_more_relevant_categories_2181fbbde595b34f8ed16b46719c121c'><input  name=\"select_one_or_more_relevant_categories[]\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" type=\"checkbox\" data-name=\"select_one_or_more_relevant_categories\" value=\"Property Management\"  id='select_one_or_more_relevant_categories_2181fbbde595b34f8ed16b46719c121c' aria-label='Property Management' aria-invalid='false' aria-required=\"false\"> <span>Property Management<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='select_one_or_more_relevant_categories_1b33f867da9450f4dafc337c15d88b34'><input  name=\"select_one_or_more_relevant_categories[]\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" type=\"checkbox\" data-name=\"select_one_or_more_relevant_categories\" value=\"Mortgage\"  id='select_one_or_more_relevant_categories_1b33f867da9450f4dafc337c15d88b34' aria-label='Mortgage' aria-invalid='false' aria-required=\"false\"> <span>Mortgage<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-4_2\" ><h3>Your contact information<\/h3><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_full_names' id='label_ff_4_full_names' >Full name(s)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"full_names\" id=\"ff_4_full_names\" class=\"ff-el-form-control\" data-name=\"full_names\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_address' id='label_ff_4_address' aria-label=\"Address\">Address<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address\" id=\"ff_4_address\" class=\"ff-el-form-control\" data-name=\"address\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_city' id='label_ff_4_city' aria-label=\"City\">City<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"city\" id=\"ff_4_city\" class=\"ff-el-form-control\" data-name=\"city\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_province' id='label_ff_4_province' aria-label=\"Province\">Province<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"province\" id=\"ff_4_province\" class=\"ff-el-form-control\" data-name=\"province\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_postal_code' id='label_ff_4_postal_code' aria-label=\"Postal code\">Postal code<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"postal_code\" id=\"ff_4_postal_code\" class=\"ff-el-form-control\" data-name=\"postal_code\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_primary_phone_number' id='label_ff_4_primary_phone_number' aria-label=\"Primary phone number\">Primary phone number<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"primary_phone_number\" id=\"ff_4_primary_phone_number\" class=\"ff-el-form-control\" data-name=\"primary_phone_number\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_alternative_phone_numbers' id='label_ff_4_alternative_phone_numbers' aria-label=\"Alternative phone number(s)\">Alternative phone number(s)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"alternative_phone_numbers\" id=\"ff_4_alternative_phone_numbers\" class=\"ff-el-form-control\" data-name=\"alternative_phone_numbers\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_fax' id='label_ff_4_fax' aria-label=\"Fax\">Fax<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"fax\" id=\"ff_4_fax\" class=\"ff-el-form-control\" data-name=\"fax\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_email' id='label_ff_4_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_4_email\" class=\"ff-el-form-control\" data-name=\"email\"  aria-invalid=\"false\" aria-required=\"true\"><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-4_3\" ><h3>Subject of your complaint<\/h3><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_full_names_of_the_subject_of_your_complaint' id='label_ff_4_full_names_of_the_subject_of_your_complaint' >Full Name(s) of the subject of your complaint<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"full_names_of_the_subject_of_your_complaint\" id=\"ff_4_full_names_of_the_subject_of_your_complaint\" class=\"ff-el-form-control\" data-name=\"full_names_of_the_subject_of_your_complaint\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_name_of_company' id='label_ff_4_name_of_company' >Name of company<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"name_of_company\" id=\"ff_4_name_of_company\" class=\"ff-el-form-control\" data-name=\"name_of_company\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_address_of_company' id='label_ff_4_address_of_company' aria-label=\"Address of company\">Address of company<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_of_company\" id=\"ff_4_address_of_company\" class=\"ff-el-form-control\" data-name=\"address_of_company\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_company_city' id='label_ff_4_company_city' aria-label=\"City\">City<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"company_city\" id=\"ff_4_company_city\" class=\"ff-el-form-control\" data-name=\"company_city\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_company_province' id='label_ff_4_company_province' aria-label=\"Province\">Province<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"company_province\" id=\"ff_4_company_province\" class=\"ff-el-form-control\" data-name=\"company_province\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_company_postal_code' id='label_ff_4_company_postal_code' aria-label=\"Postal code\">Postal code<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"company_postal_code\" id=\"ff_4_company_postal_code\" class=\"ff-el-form-control\" data-name=\"company_postal_code\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_phone_number_of_the_subject_of_complaint' id='label_ff_4_phone_number_of_the_subject_of_complaint' aria-label=\"Phone number of the subject of complaint\">Phone number of the subject of complaint<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"phone_number_of_the_subject_of_complaint\" id=\"ff_4_phone_number_of_the_subject_of_complaint\" class=\"ff-el-form-control\" data-name=\"phone_number_of_the_subject_of_complaint\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_alternative_phone_number_of_the_subject_of_complaint' id='label_ff_4_alternative_phone_number_of_the_subject_of_complaint' aria-label=\"Alternative phone number of the subject of complaint\">Alternative phone number of the subject of complaint<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"alternative_phone_number_of_the_subject_of_complaint\" id=\"ff_4_alternative_phone_number_of_the_subject_of_complaint\" class=\"ff-el-form-control\" data-name=\"alternative_phone_number_of_the_subject_of_complaint\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_company_fax' id='label_ff_4_company_fax' aria-label=\"Fax\">Fax<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"company_fax\" id=\"ff_4_company_fax\" class=\"ff-el-form-control\" data-name=\"company_fax\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_company_email_address' id='label_ff_4_company_email_address' aria-label=\"Email Address\">Email Address<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"company_email_address\" id=\"ff_4_company_email_address\" class=\"ff-el-form-control\" data-name=\"company_email_address\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-4_4\" ><h3>Complaint details<\/h3><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_date_the_transaction_occured' id='label_ff_4_date_the_transaction_occured' aria-label=\"Date the transaction occured\">Date the transaction occured<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"date_the_transaction_occured\" id=\"ff_4_date_the_transaction_occured\" class=\"ff-el-form-control\" placeholder=\"YYYY-MM-DD\" data-name=\"date_the_transaction_occured\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='' id='label_' aria-label=\"Were there additional parties involved in this transaction?\">Were there additional parties involved in this transaction?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='were_there_additional_parties_involved_in_this_transaction_0b2a37f21998f3a1bcd010a047e3c16f'><input  name=\"were_there_additional_parties_involved_in_this_transaction\" class=\"ff-el-form-check-input ff-el-form-check-radio\" type=\"radio\" data-name=\"were_there_additional_parties_involved_in_this_transaction\" value=\"No\"  id='were_there_additional_parties_involved_in_this_transaction_0b2a37f21998f3a1bcd010a047e3c16f' aria-label='No' aria-invalid='false' aria-required=\"false\"> <span>No<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='were_there_additional_parties_involved_in_this_transaction_1d80ac522d8d715ca0ede9cc0eebfa99'><input  name=\"were_there_additional_parties_involved_in_this_transaction\" class=\"ff-el-form-check-input ff-el-form-check-radio\" type=\"radio\" data-name=\"were_there_additional_parties_involved_in_this_transaction\" value=\"Yes\"  id='were_there_additional_parties_involved_in_this_transaction_1d80ac522d8d715ca0ede9cc0eebfa99' aria-label='Yes' aria-invalid='false' aria-required=\"false\"> <span>Yes<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_list_their_names_here_seperated_by_a_comma' id='label_ff_4_list_their_names_here_seperated_by_a_comma' >List their names here, seperated by a comma(,)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"list_their_names_here_seperated_by_a_comma\" id=\"ff_4_list_their_names_here_seperated_by_a_comma\" class=\"ff-el-form-control\" data-name=\"list_their_names_here_seperated_by_a_comma\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='' id='label_' aria-label=\"Have you contacted the subject of your complaint or their employer?\">Have you contacted the subject of your complaint or their employer?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='have_you_contacted_the_subject_of_your_complaint_or_their_employer_cc53eb695e703e058c46cb79f0e4e343'><input  name=\"have_you_contacted_the_subject_of_your_complaint_or_their_employer\" class=\"ff-el-form-check-input ff-el-form-check-radio\" type=\"radio\" data-name=\"have_you_contacted_the_subject_of_your_complaint_or_their_employer\" value=\"No\"  id='have_you_contacted_the_subject_of_your_complaint_or_their_employer_cc53eb695e703e058c46cb79f0e4e343' aria-label='No' aria-invalid='false' aria-required=\"false\"> <span>No<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='have_you_contacted_the_subject_of_your_complaint_or_their_employer_c94c23390ba2f7b6f17722ff13909d42'><input  name=\"have_you_contacted_the_subject_of_your_complaint_or_their_employer\" class=\"ff-el-form-check-input ff-el-form-check-radio\" type=\"radio\" data-name=\"have_you_contacted_the_subject_of_your_complaint_or_their_employer\" value=\"Yes\"  id='have_you_contacted_the_subject_of_your_complaint_or_their_employer_c94c23390ba2f7b6f17722ff13909d42' aria-label='Yes' aria-invalid='false' aria-required=\"false\"> <span>Yes<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_please_indicate_date_of_contact_who_was_contacted_and_what_was_the_outcome' id='label_ff_4_please_indicate_date_of_contact_who_was_contacted_and_what_was_the_outcome' aria-label=\"Please indicate date of contact, who was contacted, and what was the outcome\">Please indicate date of contact, who was contacted, and what was the outcome<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_4_please_indicate_date_of_contact_who_was_contacted_and_what_was_the_outcome\" name=\"please_indicate_date_of_contact_who_was_contacted_and_what_was_the_outcome\" id=\"ff_4_please_indicate_date_of_contact_who_was_contacted_and_what_was_the_outcome\" class=\"ff-el-form-control\" rows=\"4\" cols=\"2\" data-name=\"please_indicate_date_of_contact_who_was_contacted_and_what_was_the_outcome\" ><\/textarea><\/div><\/div><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='' id='label_' aria-label=\"Have you filed this complaint with another agency?\">Have you filed this complaint with another agency?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='have_you_filed_this_complaint_with_another_agency_6ace1e5dc5fa5cceabdc457cf51e185a'><input  name=\"have_you_filed_this_complaint_with_another_agency\" class=\"ff-el-form-check-input ff-el-form-check-radio\" type=\"radio\" data-name=\"have_you_filed_this_complaint_with_another_agency\" value=\"No\"  id='have_you_filed_this_complaint_with_another_agency_6ace1e5dc5fa5cceabdc457cf51e185a' aria-label='No' aria-invalid='false' aria-required=\"false\"> <span>No<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='have_you_filed_this_complaint_with_another_agency_aea68b44c0ed7ad119cf0b4bd4e9761b'><input  name=\"have_you_filed_this_complaint_with_another_agency\" class=\"ff-el-form-check-input ff-el-form-check-radio\" type=\"radio\" data-name=\"have_you_filed_this_complaint_with_another_agency\" value=\"Yes\"  id='have_you_filed_this_complaint_with_another_agency_aea68b44c0ed7ad119cf0b4bd4e9761b' aria-label='Yes' aria-invalid='false' aria-required=\"false\"> <span>Yes<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_which_agency_and_what_was_the_outcome' id='label_ff_4_which_agency_and_what_was_the_outcome' aria-label=\"Which agency and what was the outcome?\">Which agency and what was the outcome?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"which_agency_and_what_was_the_outcome\" id=\"ff_4_which_agency_and_what_was_the_outcome\" class=\"ff-el-form-control\" data-name=\"which_agency_and_what_was_the_outcome\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='' id='label_' aria-label=\"Have you retained a lawyer in this matter?\">Have you retained a lawyer in this matter?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='have_you_retained_a_lawyer_in_this_matter_20ec50a362bf78bbf2c27b9714476c34'><input  name=\"have_you_retained_a_lawyer_in_this_matter\" class=\"ff-el-form-check-input ff-el-form-check-radio\" type=\"radio\" data-name=\"have_you_retained_a_lawyer_in_this_matter\" value=\"No\"  id='have_you_retained_a_lawyer_in_this_matter_20ec50a362bf78bbf2c27b9714476c34' aria-label='No' aria-invalid='false' aria-required=\"false\"> <span>No<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='have_you_retained_a_lawyer_in_this_matter_bb025c52912535ca91cc262f50243689'><input  name=\"have_you_retained_a_lawyer_in_this_matter\" class=\"ff-el-form-check-input ff-el-form-check-radio\" type=\"radio\" data-name=\"have_you_retained_a_lawyer_in_this_matter\" value=\"Yes\"  id='have_you_retained_a_lawyer_in_this_matter_bb025c52912535ca91cc262f50243689' aria-label='Yes' aria-invalid='false' aria-required=\"false\"> <span>Yes<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_please_provide_your_lawyers_name_address_and_phone_number' id='label_ff_4_please_provide_your_lawyers_name_address_and_phone_number' >Please provide your lawyers name, address, and phone number<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"please_provide_your_lawyers_name_address_and_phone_number\" id=\"ff_4_please_provide_your_lawyers_name_address_and_phone_number\" class=\"ff-el-form-control\" data-name=\"please_provide_your_lawyers_name_address_and_phone_number\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='' id='label_' aria-label=\"May we contact your lawyer with reference to this matter?\">May we contact your lawyer with reference to this matter?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='may_we_contact_your_lawyer_with_reference_to_this_matter_b6a6e0839e829de36735521c3b7e3a1a'><input  name=\"may_we_contact_your_lawyer_with_reference_to_this_matter\" class=\"ff-el-form-check-input ff-el-form-check-radio\" type=\"radio\" data-name=\"may_we_contact_your_lawyer_with_reference_to_this_matter\" value=\"No\"  id='may_we_contact_your_lawyer_with_reference_to_this_matter_b6a6e0839e829de36735521c3b7e3a1a' aria-label='No' aria-invalid='false' aria-required=\"false\"> <span>No<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='may_we_contact_your_lawyer_with_reference_to_this_matter_cd8997661a70084ec39f3ee81fa1db82'><input  name=\"may_we_contact_your_lawyer_with_reference_to_this_matter\" class=\"ff-el-form-check-input ff-el-form-check-radio\" type=\"radio\" data-name=\"may_we_contact_your_lawyer_with_reference_to_this_matter\" value=\"Yes\"  id='may_we_contact_your_lawyer_with_reference_to_this_matter_cd8997661a70084ec39f3ee81fa1db82' aria-label='Yes' aria-invalid='false' aria-required=\"false\"> <span>Yes<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='' id='label_' aria-label=\"Is this complaint related to any action filed or pending in court?\">Is this complaint related to any action filed or pending in court?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='is_this_complaint_related_to_any_action_filed_or_pending_in_court_a48f35b07fcddcd12967e3cc192fd58d'><input  name=\"is_this_complaint_related_to_any_action_filed_or_pending_in_court\" class=\"ff-el-form-check-input ff-el-form-check-radio\" type=\"radio\" data-name=\"is_this_complaint_related_to_any_action_filed_or_pending_in_court\" value=\"No\"  id='is_this_complaint_related_to_any_action_filed_or_pending_in_court_a48f35b07fcddcd12967e3cc192fd58d' aria-label='No' aria-invalid='false' aria-required=\"false\"> <span>No<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='is_this_complaint_related_to_any_action_filed_or_pending_in_court_4b1109a04845f47439a268c62c203bae'><input  name=\"is_this_complaint_related_to_any_action_filed_or_pending_in_court\" class=\"ff-el-form-check-input ff-el-form-check-radio\" type=\"radio\" data-name=\"is_this_complaint_related_to_any_action_filed_or_pending_in_court\" value=\"Yes\"  id='is_this_complaint_related_to_any_action_filed_or_pending_in_court_4b1109a04845f47439a268c62c203bae' aria-label='Yes' aria-invalid='false' aria-required=\"false\"> <span>Yes<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_state_the_court_and_case_number' id='label_ff_4_state_the_court_and_case_number' aria-label=\"State the court and case number\">State the court and case number<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"state_the_court_and_case_number\" id=\"ff_4_state_the_court_and_case_number\" class=\"ff-el-form-control\" data-name=\"state_the_court_and_case_number\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_brief_chronological_outline' id='label_ff_4_brief_chronological_outline' aria-label=\"Please provide a brief, chronological outline of your complaint. Be factual. Try to answer the questions who, what, where, when, why and how, related to the events in questions.\">Please provide a brief, chronological outline of your complaint. Be factual. Try to answer the questions who, what, where, when, why and how, related to the events in questions.<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"true\" aria-labelledby=\"label_ff_4_brief_chronological_outline\" name=\"brief_chronological_outline\" id=\"ff_4_brief_chronological_outline\" class=\"ff-el-form-control\" rows=\"6\" cols=\"2\" data-name=\"brief_chronological_outline\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_please_provide_a_list_of_the_documents_you_are_submitting_in_support_of_this_complaint' id='label_ff_4_please_provide_a_list_of_the_documents_you_are_submitting_in_support_of_this_complaint' aria-label=\"Please provide a list of the documents you are submitting in support of this complaint\">Please provide a list of the documents you are submitting in support of this complaint<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_4_please_provide_a_list_of_the_documents_you_are_submitting_in_support_of_this_complaint\" name=\"please_provide_a_list_of_the_documents_you_are_submitting_in_support_of_this_complaint\" id=\"ff_4_please_provide_a_list_of_the_documents_you_are_submitting_in_support_of_this_complaint\" class=\"ff-el-form-control\" rows=\"4\" cols=\"2\" data-name=\"please_provide_a_list_of_the_documents_you_are_submitting_in_support_of_this_complaint\" ><\/textarea><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\"  aria-label=\"Submit Complaint\">Submit Complaint<\/button><\/div><\/fieldset><input type=\"hidden\" name=\"trp-form-language\" value=\"fr\"\/><\/form><div id='fluentform_4_errors' class='ff-errors-in-stack ff_form_instance_4_1 ff-form-loading_errors ff_form_instance_4_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                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