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Complaints Form

Introduction

Toowoomba Regional Council collects your personal information in accordance with the Information Privacy Act for the purpose of assessing, investigating and responding to your complaint. You may also receive a survey seeking your opinion on how Council handled your complaint. If you wish to opt out of this please let us know.

Privacy

Privacy Collection Notice

This personal information in this form is collected by Toowoomba Regional Council for the purpose of assessing the request in this form and performing related functions. Council's privacy policy is available at tr.qld.gov.au/privacy.

Complaint type

What is your complaint in relation to? *

A decision e.g. right to information decision, National Competition Policy decision or refusal of an applicationBehaviour of a staff member or CouncillorCorrupt conduct e.g. fraud or theftHuman rights breachOther

Under the principles of natural justice / procedural fairness the officer will be afforded the right of reply to the allegation/s. This may result in the officer learning or deducing who lodged a complaint about them.

'Other' complaints should be submitted via an online request for service.

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Complaints Form

Complaint details

What happened? *

Date and time that event happened? *

Where did the incident(s) occur? *

If a vehicle was involved - what is the make, model, colour or registration?

Why do you think this is unfair or wrong? *

Complaint resolution

What do you think we should do to resolve your complaint? *

Witnesses

Are there any witnesses?

YesNo

Witness details 1

Full name *

Phone number *

Email address *

Witness details 2

Full name

Phone number

Email address

Witness details 3

Full name

Phone number

Email address

Previous complaints

Have you previously lodged a complaint about this matter?

Yes - with Toowoomba Regional CouncilYes - with another agencyNo

Provide the customer reference number (if known) or any additional details

Which agency has the complaint been lodged with?

Provide the agency complaint reference number

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Complaints Form

Contact type

Is this complaint for an individual or a company/organisation?

IndividualCompany/organisation

Contact details

Title

First name (s)

Last name

Phone number

Email address

Company/organisation details

Contact person full name

Phone number

Email address

ABN/ACN

Postal address

Suburb

State (AU)

Postcode

Preferred contact method

Do you wish to be contacted? *

YesNo

Would you prefer phone or email? *

PhoneEmail

Preferred phone number *

Preferred email address *

First language & special needs

First language

What is your first language?

Special needs

Please advise of any special needs you have

SightHearingSpeechOther

Age group

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