Talent Agent Complaint Form

Performer Name*

First Last

Please enter your name.

ACTRA ID

Please enter your ACTRA number, as it is displayed on your membership card. (e.g. 04-12345, AM-12345, EX-12345)

Address*

Street Address Address Line 2 City Province Postal Code

Primary phone*

Please enter a telephone number where you can be contacted.

Other phone

In the event that your primary phone number (above) is not available, please enter an alternate telephone number that you would like us to use.

Email*

Please enter your email address.

Name of Talent Agency*

Please provide the name of the talent agency which is the subject of your complaint.

Does this talent agency appear on ACTRA Toronto's "Agency Directory"?

Yes
No

Please indicate whether the talent agency which is the subject of your complaint is listed on ACTRA Toronto's Agency Directory (list of EIC signatory or TAMAC affiliated agencies)

Talent Agency Address*

Street Address Address Line 2 City Province Postal Code

Please provide the address of the talent agency which is the subject of your complaint.

Talent Agency Primary Phone*

Please enter the telephone number of the talent agency which is the subject of your complaint.

Talent Agency Email*

Please enter the email address of the talent agency which is the subject of your complaint.

Talent Agency Website

Please enter the internet address for the website of the talent agency which is the subject of your complaint. (e.g. www.talentagent.com)

Name of Talent Agent

First Last

Please provide the name of the talent agent against whom you wish to make a complaint.

Name of Talent Agent

First Last

Please provide the name of a second talent agent at the same agency against whom you wish to make a complaint.

Summary of Complaint*

Please provide a brief but detailed description of your complaint including date(s) and production names where appropriate. If you need more space than 500 characters, please upload a document below.

Document Upload

Drop files here or

Accepted file types: pdf, jpg, png, doc, docx, Max. file size: 40 MB.

Please upload any relevant documents in support of your complaint. (e.g. scanned images in .pdf, .jpg or .png format; documents in .pdf or .doc or .docx format) IMPORTANT: NO SPACES IN FILE NAMES. Use hyphens or underscore.