A-011 Lottery Gaming Incident Report Download Form PDF Lottery Gaming Incident Report Date of Report Organization Holding Event Lottery Date Location/Premise of Event Please describe the incident (issue) Did you contact the organization to try to resolve the issue? Yes No Was the incident resolved to your satisfaction? Yes No If no, please explain below: What would you suggest for us to make sure that this does not happen again? Name of person submitting the report: Name Email Address Work Phone Resident Phone Signature Sign above If you require more space, please add another sheet. Consumer Affairs, Community & Government Services P.O. Box 440, Government of Nunavut, Baker Lake, NU. X0C 0A0 Toll-Free: 1-866-223-8139 Tel: (867) 793-3321 Email: @email Attachment One file only.100 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Steps Current Lottery Gaming Incident Report Preview Complete Is this page useful? yes no Provide comments Email address Provide a comment Thank you for contacting the Government of Nunavut. Please do not send sensitive or personal information, including (but not limited to): social insurance numbers, birthdates, information of other people, or health information. Please only send a brief description of your issue or concern and how we can contact you. We will make sure the correct person contacts you if they need more information or if they can answer your question or concern.