COMPLAINTS AND APPEALS FORM
PLEASE SELECT ONE OPTION
*
Complaint
Appeal
YOUR PERSONAL DETAILS
Name
*
Title
Given name
Surname
Phone number
*
Address
Email address
*
example@example.com
YOUR TRAINING PROGRAM
Course/Program Title
Trainer/Assessor
DETAILS OF YOUR COMPLAINT OR APPEAL
Date of occurrence
/
Day
/
Month
Year
Date
Reason for your submission/concern
Please Select
Refund
Harrassment
Grading
Student Support
Priority Grading
Misleading Information
Refund
Course Access
Other (insert on Drop down lists page)
Occurrences leading up to this submission: (Outline any steps taken prior to submitting your formal complaint or appeal)
Key Details of this Complaint or Appeal
Outcomes you are seeking from this process:
Confirmation
*
By signing this form. I certify that the information provided is true and correct
Signature
*
Date
*
/
Day
/
Month
Year
Date
OFFICE USE ONLY
Indicate outcome of
process and action taken.
RTO Ref No (YYYY/No)
RTO Officer
Date
/
Day
/
Month
Year
Date
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