Complaints form

Please ensure you complete the fields marked * as they are mandatory.

Details Of Complaint

Please name the NSW agency you are making a complaint about. (*)

Please give the details of your complaint: (*)

What happened after you complained to the agency? (*)

What do you want to happen for your complaint to be resolved? (*)

If you want to attach some relevant documents electronically, please attach them below: Please include an executive summary or explanation of attachments in your document or in the sections above. Please note, the maximum recommended size per uploaded file is 2MB. If your files are larger than this, please email them to nswombo@ombo.nsw.gov.au.

Your details
Email: (*)
Title:		Gender: Male Female
First name(s):(*)
Family name:(*)
Address: (*)
Suburb:(*)
State: (*)
Post code: (*)
Telephone:	(home) (work) (mobile)

Are you making this complaint on behalf of another person?
Yes

If yes, what is the name of that person?

Please indicate if you (or the person you are making the complaint on behalf of):

identify as Aboriginal or Torres Strait Islander?
Yes

speak a language other than English at home?
Yes

If yes, what language?

have a disability or other special needs?
Yes

are under 25 years of age?
Yes

Please check the details on the form. To clear all information, click on the 'reset' button.
If you are happy that everything is correct, click on the 'submit' button to send your complaint to us.