Owners Corporation Complaint Form

Details of person(s) making this complaint
Plan number (if known)
Lot number
Property Address

Street Address

Street Address Line 2
SuburbState / ProvincePostcode
Name(s)
Full name (s)
Are you a (please select one):

Other
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Postal Address (If different from above):

Street Address

Street Address Line 2

SuburbState / Province

Postal / Zip Code
Details of person(s) you are making the complaint against:
Plan number (if known)
Lot number
Property Address

Street Address

Street Address Line 2
SuburbState / ProvincePostcode
Name(s)
Full name (s)
Are they a (please select one):

Other
Details of complaint/alleged breach of the rules, Act or Regulations:
Describe what the complaint/breach is about including dates and times (if known):
What has been done to try to resolve this complaint? Please describe what you have done, who you have talked to and what they offered to do:
What remedy are you seeking – how do you want the problem to be solved?:
Declaration and signature

I declare that the above information is true and correct to the best of my knowledge. I agree that the information I have given in this form may be used or disclosed by the owners corporation to process and resolve this complaint.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Details of complaint/alleged breach of the rules, Act or Regulations: