1. Complainant Identification

Complainant's full name
Street address
Unit
P.O. Box
City
Province / State
Country
Postal Code / Zip code
Telephone No.
Fax No.
Email
Name and title of authorized official filing complaint
Telephone No.
Fax No.
Street address (if different from complainant's)
Unit
P.O. Box
City
Province / State
Country
Postal code / Zip code

2. Counsel Identification

Complainants may represent themselves or retain counsel. Counsel may be a lawyer or a consultant. If counsel is retained, please provide the following information.
 

Name of counsel
Name of counsel's firm
Street address
Unit
P.O. Box
City
Province / State
Country
Postal code / Zip code
Telephone No.
Fax No.
Email

Note: To expedite proceedings, counsel should file their client's Notice of participation, their Notice of representation and declaration and undertaking along with the original complaint. These forms are available on the Tribunal's Web site.

3. Information on the Procurement 

A. Identification Number

Include the type of process used for the procurement in dispute, (e.g. Request for Proposal (RFP), Request for a Standing Offer (RFSO), Request for a Supply Arrangement (RFSA), Invitation to Tender (ITT), Letter of Interest (LOI), Advance Contract Award Notice (ACAN),) as well as the solicitation and/or contract number provided by the contracting authority.

B. Requisitioning Authority

Name of the government organization whose needs are being met through the procurement.

C. Contracting Authority

Name of the government organization administering the procurement process.

D. Product and/or Service Procured

Short description of product and/or service being acquired. If known, provide the Federal Supply Classification (FSC) Code, the Goods and Services Identification Number (GSIN) or the NATO stock number (NSN).

E. Date of Issuance of Solicitation

Date on which the Notice of Proposed Procurement (NPP) or Advanced Contract Award Notice (ACAN) appeared on Canada's Electronic Tendering Service (MERX), if applicable.

(YYYY-MM-DD) 

F. Bid Closing

Deadline for the submission of bids.

(YYYY-MM-DD) 

G. Successful Bidder

Name of the successful bidder, if applicable.

H. Contract Award Date

(YYYY-MM-DD) 

I. Estimated Value of the Procurement

Estimate of the contract value. Use the government's own estimated value, if known.

4. Objection to the Contracting Authority

An objection is a complaint made directly to the contracting authority. Attach a copy of any written objection and identify it in Part 6.

A. Did You Make an Objection? If so, specify how you objected
    (e.g. by telephone, fax, e-mail).
 

Yes	No

B. Government Organization to Which the Objection Was Made

Name of the government organization.

Name and title of the official to whom the objection was made.

C. Date of Objection

(YYYY-MM-DD) 

D. Nature of Objection

E. Relief Requested 

What remedy did you seek from the contracting authority?

F. Date and Nature of the Contracting Authority's Response to the Objection

(YYYY-MM-DD)

5. Complaint to the Tribunal

A. Basic Nature of the Complaint

B. Trade Agreement(s) Under Which the Complaint Is Made

If known, refer to the specific provisions of the applicable agreements (e.g. Article 506 of the Agreement on Internal Trade, Article 1012 of the North American Free Trade Agreement) that you believe have been breached.

C. Nature of Relief Requested

What remedy you are seeking.

D. Costs

Indicate whether you are requesting reimbursement of complaint costs and/or bid preparation costs? Costs will not be awarded unless requested.

Note that costs related to answering a complaint have also been awarded.

E. Postponement of the Contract Award

Under section 30.13(3) of the Canadian International Trade Tribunal Act, the Tribunal may order the government institution to postpone the award of a contract until the Tribunal determines the validity of the complaint. Do you wish to request such a postponement, if applicable?

F. Detailed Statement of Facts and Arguments

Provide a clear and detailed statement of the facts and arguments supporting your complaint. For each ground of complaint, specify the date on which you became aware of the facts underlying that ground of complaint. Reference the relevant sections of the tender documents, if applicable. Use additional pages if necessary.

6. List of Attachments

In order for a complainant to be considered filed, it must be complete. Attach a legible copy of all documents that are relevant to your complaint and list of all these documents. The documents would normally include any notice published on MERX; all tender documents, such as the complete RFP, with all amendments and attachments; your proposal; all related correspondance, including e-mail; and any written information that relates to any objection that you made. Indicate which information, if any is confidential. Explain why the information is confidential and provide either a version of the relevant documents with confidential portions removed or a summary of the contents.