Camp Kiah Complaint Form

Camp Kiah Complaint Form
Please use this form to provide all information required to make a complaint. Please remember that you are able to make a complaint verbally or in writing via email and send through to fiona@campkiah.com.au

Camp Kiah staff are responsible for creating a safe, stable, loving, caring, and nurturing environment for both themselves and the children/young people staying in the camp location.

Camp Kiah values complaints from children/young people, families, carers, service providers and regulators to ensure people are treated fairly when they use Camp Kiah’s services.

Complaints are an important source for feedback that can help improve the way the organisation runs and supports young people and their families.

Everyone has the right to complain. This policy is to ensure that staff are confident in dealing with complaints honestly and fairly as well as reporting inappropriate behaviour around children and young people.
Young Person Details

(Participant details)
YPID
Young Person Name

First NameLast Name
Date of Birth

DayMonthYear
NDIS number
Representative Details

Carer, guardian, parent, child representative, plan nominee, decision maker
Representative Name

First NameLast Name
Relationship to young person
Representative Phone
Format: 00 0000 0000.
Representative Email
example@example.com
About the complaint

Complete this section if you are complaining on behalf of someone else
Name of person

First NameLast Name
Your relationship to this person
Does the person know you are making the complaint?
Does the person consent to the complaint being made?
What is your complaint about?

Tell us about which Program or staff member was involved in the matter.
Camp Kiah program
Camp Kiah staff member
Provide some details to help us understand your concerns. You can include what happened, where it happened and who was involved or the decision made by the Agency that you are unhappy about.
What outcomes are you seeking?
Additional information

Where you would like to provide additional information , Please attach copies of any documents that may help us investigate your complaint (for example letters, references, emails)
Cancelof
Date

DayMonthYear
Should be Empty:

Camp Kiah Complaint Form

Young Person Details

Representative Details

About the complaint

What is your complaint about?