Request For Assistance

NOTE: Any information given on this form will only be used for the purposes of this Office.

Please remember that e-mail is not appropriate for confidential communication. As a minimum, please provide contact information. However, we will be able to serve you best if this form is as complete as possible.

* In order for us to respond to your request, you must provide either your telephone number or e-mail address

Date:
(yy/mm/dd)    

Contact Information UofT Status
Name:
 undergraduate
Address:
 graduate student
Apt. No./Unit:
 academic staff
City:
 administrative staff
Province:
UofT Unit  
Postal Code
Faculty:
*Telephone:
College:
*E-mail:
Department:

Brief outline of reason for requesting assistance from this Office (up to 7000 characters):

Before coming to the Office of the University Ombudsperson, have you discussed this matter with other UofT offices/individuals?
 No
 Yes. Which offices/individuals? (choose all that apply)
Undergraduate Coordinator / Associate Chair Graduate Coordinator / Associate Chair
Student Life Professor
Human Resources Supervisor
Registrar's Office Vice Dean SGS
Department Chair Student Government Rep
Accessibility Services Union Representative
Equity Office (please specify)
Other

How did you hear about the Ombudsperson's Office? (choose all that apply)
Bookmark Poster
Graduate/Undergrad Coordinator Registrar
Student Govermment Friend/Family
Calendar Website
Faculty Member Student Life
Student
Other

Note: You may wish to leave this section blank until you have discussed your situation with us.
I authorize the Ombudsperson to access my UofT record, and to contact UofT representatives about my concern.

yes     no


Click once to submit this information then contact the Office to make an appointment to discuss your situation in more detail.

Phone: (416) 946-3485
E-mail: ombuds.person@utoronto.ca

Click once if you want to clear ALL the fields in the above form.