Accommodation Request Form

Accommodation Request Form

A. General Information


File Information

MM slash DD slash YYYY

B. Request Details

I have a need related to the Human Rights Code, 1990 that may impact my ability to file a complaint or participate in the complaint process. The enumerated grounds under the Human Rights Code,1990, include race, ancestry, place of origin, colour, ethnic origin, citizenship, creed, sex, sexual orientation, gender identity, gender expression, age, marital status, family status, disability or the receipt of public assistance.(Required)
I have a need related to the Accessibility for Ontarians with Disabilities Act, 2005.(Required)
Please send any supporting documents, if necessary, to

C. Next Steps

Send this completed form to the LECA as soon as you can to avoid any delay.

If the form is complete and the LECA has all the information it needs, the LECA will review your request and determine the availability of the appropriate alternate arrangements. The LECA may contact you if it needs more information.

How quickly the LECA makes a decision depends on the nature of your file and the information you provided. The LECA will attempt to provide you with a response as expeditiously as possible.

The LECA will work with you to put in place the accommodation that would help meet your need and remove the barrier in accessing the public complaints system.

Collection of Information
Information in this form is collected by the Law Enforcement Complaints Agency for the purpose of processing a request for accommodation under the Human Rights Code, R.S.O. 1990, c. H.19 and Accessibility for Ontarians with Disabilities Act, 2005, S.O. 2005, c. 11 to allow an individual to participate in the complaints process under the Community Safety and Policing Act, 2019, S.O. 2019, c. 1, Sched. 1.
The Information within this form may be accessed and used by the LECA and any agency or individual who has been directed by the Complaints Director to review, investigate, or deal with a complaint.
This field is for validation purposes and should be left unchanged.

Warning: Use of undefined constant php - assumed 'php' (this will throw an Error in a future version of PHP) in E:\LECA.Website\wp-content\themes\oiprd-theme\contact2.php on line 48