Required fields are marked with asterisks (*)

Porcupine Gold Mines

Community Feedback Form

Thank you for your feedback. The more information you provide, including your contact details, the more efficiently we will be able to follow up.

All fields marked with an asterisk (*) are mandatory

What is your feedback related to?

Community Investments/Donations

Cultural Heritage

Damage to Private Property

Environmental

Hauling

Lands Management (e.g. access, acquisition etc.)

Shares/Bonds/Stocks etc.

Other (Please Specify)

Please use the following questions to provide more detail in the comment boxes below

Incident Date

Incident Time

Details of Feedback (What happened? Where did it happen? Who did it happen to? Result of impact of the problem?)

What would you like to see happen to resolve the problem?

Would you like to submit a supporting image or file?

Yes

Contact Information

Please Enter your First Name

Please Enter your Last Name

Please enter your email address

Select your preferred contact method

Mail

Phone

Preferred Language of Communication (type your preferred language if it is not English)

Porcupine Gold Mine is committed to diversity, inclusion and accessibility. Would you like to voluntarily self-identify as an under-represented group?

Yes

Note: You can also request that the company not disclose your identity to a third party (contractor or others) without your consent.

I request not to disclose my identity without my consent.

I authorize the involvement of third parties (contractors or others) to help resolve the issue.