Feedback, Compliments & Complaints "*" indicates required fields About YouIs this submission to be kept anonymous?*Decide whether you want us to know your details or not. Yes No Name First Last Phone NumberEmail Address Street Address City State Postcode Is this a compliment or a complaint?* Compliment (Positive feedback) Complaint (Negative feedback) ComplimentTell us what you would like to compliment onComplaintA formal investigation will commence once we receive the completed form.Alternatively, you may raise/ escalate your complaint directly to the NDIS Commission by: Phone: 1800 035 544 (free call from landlines) or TTY 133 677. Interpreters can be arranged. National Relay Service and ask for 1800 035 544 Completing a complaint contact form at the NDIS Quality and Safeguards Commission website Have you lodged a complaint with our organisation before? Yes No Was the matter resolved? Yes No Details of the complaintIs the complaint related to Employee Manager Service Delivery Facilities Specific Incident Who was involved?Please list everyone including witnesses to any event.What happened?Where did it happen?When did it happen? DD MM YYYY Any additional information your would like to share?How would you like to see your complaint resolved?What action would you like us to take to resolve the complaint?
