Gliding Australia Complaints / Concerns Form

COMPLAINT / REPORT FORM
Confidentiality
Any information gathered via this complaint form will be used for complaint handling and will not be used for any other purpose. We will not disclose any confidential information, or your personal details, without first obtaining your consent, unless the information is required by legislation to be provided to regulatory agencies, such as police, child protection agencies, National Sports Tribunal or Sport Integrity Australia.

You are not required to provide any of your personal information to make a complaint. However, if you do not provide these details, we may not be able to investigate your complaint. Additionally, if you do not supply a contact method, we will not be able to supply you with a response.
Name

First NameLast Name
Email address
example@example.com
Are you sure you want to submit this form without entering your name?
Is this a:*

ComplaintReport
Membership Number
Postcode
Phone Number

Details of the complaint/report
Is the complaint/report being made on behalf of you or a minor? *
What is the minor's age?
What is their relationship to you?
This Complaint/Report relates to?*
If the complaint/report is being made on behalf of a legal entity – what is the entity's name?
Details of the individual/club/entity/etc that the complaint/report relates (if known): e.g. name, location, phone, email, etc.
What is the complaint/report about?*
When did the alleged incident/offence take place? (List all dates and times)*
Please provide details of your complaint/report.*
What outcome would you like to see from your complaint/report?

Action Taken
Interim action taken (if any)
Police contacted (who, when, advice provided)
Government Agency contacted (who, when, advice provided)
Organisation Personnel Contacted (who, when, advice provided)
Attachments - Please attach copies of any correspondence, images, supporting documents relating to this complaint/report.

Cancelof
Should be Empty:

COMPLAINT / REPORT FORM