Request for Alternative Dispute Resolution

The information requested on this form is required in accordance with the Procurement Ombudsman Regulations (Regulations) for a request for Alternative Dispute Resolution (ADR) services to be filed. Only information needed to initiate the ADR process will be requested.

Within ten working days, we will assess your request against the Regulations and if the criteria are met, we will send your request to the federal organization so it can decide whether to participate in the ADR process.

The Regulations require the dispute to be about the interpretation or application of the terms and conditions of a contract. The dispute must also be between parties to a contract and one party must be a federal organization.

I acknowledge and understand the above statements. (required) Yes No

If you are experiencing any difficulties completing the form, please contact us at 1-866-734-5169 or opo-boa@opo-boa.gc.ca.
For more information regarding OPO’s ADR process consult our “What to expect” guide.

Section 1: Complainant Identification

Title (Please select one)

Last name (required)

First name (required)

Name of your organization (required)

Mailing Address (required)

City (required)

Province (required)

Postal code (required)

Telephone (required)

Fax (optional)

Email address (optional)

Are you filing on behalf of the complainant (e.g. family member, legal counsel)? (required) Yes No, I am the complainant.

Is your contact information different from above? (required) Yes No

Representative Identification

Title (Please select one)

Last name (required)

First name (required)

Name of your organization (required)

Mailing Address (required)

City (required)

Province (required)

Postal code (required)

Telephone (required)

Fax (optional)

Email address (optional)

How did you first become aware of Office of the Procurement Ombud? (required)

Other

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Section 2: Details of the issues

Please list all the issues. Please provide details for each issue and any supporting documentation (see Section 5 to upload documents). (required)

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Section 3: Identification of the Other contracting party

Please identify the other party to the contract involved in your contract dispute. (required)

Section 4: Have you contacted the other party identified in section 3 to try to resolve your dispute?

If yes, please provide a brief description of what happened and the relevant dates.

Section 5: Upload Files

OPO requires a copy of the contract in question. Please upload the contract here or provide by fax or mail.

Please note there is a maximum allowable limit (30MB) and only the following file types are accepted for upload: PDF, DOC and DOCX, XLS and XLSX, MSG, JPEG, JPG, PNG and TIFF. Only letters, numbers and spaces are allowed in the file name.

File

Upload
File Name	File Size	Delete File

Are you uploading additional information? (such as any correspondence and written information related to this dispute) (required) Yes No

Are you submitting additional information by fax or mail? (required) Yes No

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Section 6: Consent

Do you provide your consent, at this time, to the Office of the Procurement Ombud to contact the other party of the contract, identified above, in an attempt to resolve your issue(s)? (required) Yes No

Section 7: Declaration

I declare and certify that the information provided herein is to the best of my knowledge, true, accurate and complete. (required) Yes No

I agree to bear the cost of my own participation in the alternative dispute resolution process, such as travel. (required) Yes No

Privacy Statement: Any personal information collected in this process is protected under the Privacy Act. The information will be retained for a minimum of three years after the file is closed.

Under the Privacy Act, individuals have the right to protection of, and access to, their personal information held by federal organizations. As well, individuals can request corrections to any inaccurate information. Learn more on accessing your personal information at the Office of the Privacy Commissioner.

If you have questions about this Statement, you can send them to opo-boa@opo-boa.gc.ca. For more information on privacy issues and the Privacy Act, contact the Office of the Privacy Commissioner at 1-800-282-1376.

I acknowledge and understand this Privacy Statement. (required) Yes No

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Request for Alternative Dispute Resolution

Section 1: Complainant Identification

Representative Identification

Section 2: Details of the issues

Section 3: Identification of the Other contracting party

Section 4: Have you contacted the other party identified in section 3 to try to resolve your dispute?

Section 5: Upload Files

Section 6: Consent

Section 7: Declaration