Complaint & Feedback Form

As part of our Complaints and Feedback Policy we have created this form for Clients, Stakeholders, Friends, Family and Support Workers to report feedback in the best interests of participants funded under the NDIS. By completing the below form this will then be sent to the Complaints Manager who will investigate and report as required.

If participants or stakeholders feel the complaint cannot be resolved internally, they are encouraged to contact below with the Commission.

NDIS Quality and Safeguards Commission
Phone: 1800 035 544 (free call from landlines) or TTY 133 677
National Relay Service and ask for 1800 035 544.
Interpreters can be arranged.

Are you making a complaint or providing feedback on someone's behalf?

Yes

Personal Details Of Client/Particpant

Details of the Client/Participant the Complaint or Feedback is about

Client's Name

Client's Email

Client's Phone

Client's Address

Feedback/Complaint Details

Who is the person, or the service about whom you are complaining or providing feedback about

Name of the person or service

Any contact details may you have

What is your complaint or feedback about?

Provide some details to help us understand your concerns. You should include what happened, where it happened, time it happened and who was involved.

Provide some details to help us understand your concerns

Would you like us to contact you to provide an update? If YES, pleas provide name, email, phone number below.

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