What is the Complainant Worksheet?
A fillable form in three parts that can be downloaded to help
gather and organize information and documents needed to consult
legal counsel and to file grievances, human rights complaints or
Conscientious practitioners (including applicants and students)
who suffer significant difficulty or disadvantage because they are
unwilling to act contrary to their conscientious
convictions/religious beliefs by providing or facilitating
procedures or services.
If needed, fillable forms for Additional Parties Ivolved can be downloaded from the
The worksheet is intended for your personal use. Should you
decide to share it with the Protection of Conscience Project or
others, the first section of the worksheet allows you to give
directions to maintain confidentiality and privacy.