Community Feedback Mechanism

We are listening

Use this form to submit a question, comment, concern, reported incident or grievance. You may submit anonymously. If you choose to submit anonymously, FPX will still investigate but is unable to share final results with you. FPX will collect only information needed to assess and respond to the matter. This process is free to use.

Blank Form (#1)

Date & Location of Occurrence

Date / Time

Location of event/concern

Name & Privacy

First name (optional)

Last name (optional)

Privacy preferences

I wish to remain anonymous

I request that my identity and personal information be kept confidential

FPX may use my name when discussing this matter with the people needed to assess and respond

Affiliation or relationship to the Project

Contact Information

Your contact details.

Preferred contact method(s)

Phone

Mailing Address

Address Line 1

Address Line 2

City

Province/Territory

Postal Code

Country

Other

Representative or Support Person

If someone will speak with FPX on your behalf, provide their name and contact details.

First name

Last name

Phone

Location of Residence / Usual Contact Location

If FPX needs to speak with you in person, where can you normally be found?

Location

Event / Concern Details

What happened or may happen? Who was involved? Who or what may be affected? Is the issue ongoing or urgent?

Description of event / concern

Supporting information

Written document, email, invoice, title, agreement or commitment

Photograph / map

Voice recording

Other

Other information

Requested Outcome / Follow-up

How would you like to see this resolved? What corrective action, remedy, information or follow-up are you seeking?

OTCQX

TSX-V