top of page

Participation Complaint Form

This form is to assist you in making a complaint to our organization.

​

All persons wishing to make a complaint can speak with the Manager or staff member of choice or choose to complete this form.

​

All information is strictly confidential.

If you feel unsure about anything or would like help completing this form, please speak to the

Administration Officer.

We encourage you to make your complaint in writing. Please allow a maximum of ten (10) days

for a response.

​

Personal Details:

 

The information provided will be used to contact you. Only provide the contact details that you wish to be contacted on.

 

A complaint can be made to the NDIS Commission by:

The NDIS Commission can take complaints from anyone about:

  • NDIS services or supports that were not provided in a safe and respectful way

  • NDIS services and supports that were not delivered to an appropriate standard

  • How an NDIS provider managed a complaint about services or supports provided to an NDIS participant

​

​

As well as dealing with complaints, the NDIS Commission works to educate providers about delivering quality and safe support and effectively responding to complaints. If a complaint raises a serious compliance issue, the NDIS Commission has the power to take action.

Do you need assistance completing this form? If so, please select who will be assisting you.
Have you lodged a complaint with our organisation before?
Yes
No
Is there someone else (legal representative or support person) that you would like involved in making this complaint?
Yes
No

Details of the complaint

Is the complaint related to:
Have you discussed the matter with the person/s involved?
YES
NO

Additional Information/Supporting Documentation

Please attach copies (not the original) of any documents that may help us to handle the

complaint, e.g. if you have letters, emails or faxes or records of conversations you have had with the person/s associated with the complaint.

To help us resolve this matter as fast as we can, please ensure your contact details are kept up to date. If details change, let the organisation know as soon as you can.

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
bottom of page