Child Safe Complaint Form

If you want to make a complaint, we will listen, treat you with kindness, and let you know how long it might take to see an outcome.

If you need help filling out this form, you can ask someone you trust – like a staff member, friend, family or community Elder – to support you.

Child Safety Complaints Form

You do not have to tell us your name, phone number or email address, but it may be harder for us to help.

First Name

Last Name

Postal Address

Street Address

Suburb

State

Post Code

Country

Contact Number

Who or what are you unhappy with? Tell us what happened.

When did it happen and has it happened before?

What would make you happy? Tell us what you would like to happen.

We might need to talk to you to fix your problem. Are you ok with this?

Yes

How can we contact you? Tick one or more:

Phone Call

Text Message

Call a person you trust e.g. parent, friend, support worker

Tell us their name and contact details

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