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Anonymous Complaints & Feedback Form

Instructions:
1. Complete this form
2. Forward with information to our Complaint Manager via stamp self-addressed envelope provided at your
intake. If you do not have this envelope, then please feel free to contact us by:

Website: www.caringhumanity.com.au

Postal Address: 15 Baynton Street
Richardson ACT 2905
Australia

3. Please do not put your name through our website or on the envelope.[/vc_column_text][vc_empty_space][vc_column_text]Who is the person, or what is the service, about whom you are complaining or providing feedback about[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

Name or Service *

Does the person know you are making this complaint/providing feedback? *YesNo

What is your Complaint/Feedback about? *

Would you please provide some details to help us understand your concerns? *

You should include what happened, where it happened, the time it happened and who was involved. *

Supporting Information -

Choose FileNo file chosenDelete uploaded file

Would you please attach copies of any documentation that may help us to investigate your complaint/feedback (for example letters, references, emails)?

What outcomes are you seeking because of the complaint/feedback? *

Send Message

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]If you would like to Download and Print the form and would like to send us the complaint as print format please download the form as DOC or PDF format.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_btn title=”Download DOC Format of Anonymous Complaints & Feedback Form” link=”url:https%3A%2F%2Fwww.caringhumanity.com.au%2Fwp-content%2Fuploads%2F2023%2F08%2FAnonymous-Complaints-and-Feedback-Form.docx”][/vc_column][/vc_row][vc_row][vc_column][vc_btn title=”Download PDF Format of Anonymous Complaints & Feedback Form” link=”url:https%3A%2F%2Fwww.caringhumanity.com.au%2Fwp-content%2Fuploads%2F2023%2F08%2FAnonymous-Complaints-and-Feedback-Form.pdf”][/vc_column][/vc_row]