Audit Contribution Form

Examination process for complaints from health and social services network

* Mandatory field

Information about you

This information will remain confidential. It allows us to contact you if additional information is required.

I wish to remain anonymous.

Note that we cannot respond to anonymous contributions.

First name

Last name

Cell

Work phone

Home phone

Address

Province

Postal code

Your contribution

Date of the event (or period)

Department or agency concerned

Summary of the facts

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If you require assistance to complete this form or have any questions, you may contact us at 418 691-5900.

Transmission confirmation

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The mission of the Auditor General of Québec is to promote, through audit, parliamentary control over public funds and other public property. We therefore analyze with attention the subject of your contribution.

The Auditor General thanks you for the information you have provided.

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