Complaint Form
Please provide information below relating to your complaint.
Would you like to make a complaint?
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Please Select
I want to make a complaint.
I want to make a complaint on behalf of someone else.
I am making this complaint on behalf of:
First Name
Last Name
Complainant Details
Would you like to remain anonymous?
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No
Yes
Your Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Complaint Details
Does this relate to a specific area of KCS?
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Aged Care
Children's Services (Before and After School Care, Vacation Care)
Community Engagement
KCS (General)
Unsure
Tell us about your complaint
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Please provide relevant information including, who was involved, location, date, time etc.
What outcome would you like to see as a result of reporting this complaint?
Office Use
KCS Complaint Website (KCSF037)
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