CBSC Complaint Form

For more information on the complaint process, see the Making a Complaint document.

Please

  1. fill out all the following fields and

    2. and

  2. be as detailed as possible

so that the CBSC can identify the broadcast and help resolve your concern.

Television or Radio Station:

Name of the program or the on-air person involved:

Date of Program:

Time of Program:
(approximate)

Specific concern:

Your Address:

City:

Province / Territory:

Postal Code:

Your Name:

Your E-mail Address: