Complaint form

What to expect

We will try to resolve your complaint as quickly as possible. You can assist us by providing as much detail as possible on this form. We will acknowledge receipt of your complaint within two working days and aim to respond within 15 working days. For more complex complaints requiring further investigation it may take longer to process your request. We will keep you informed of progress if this is the case.

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Your details

Industry

-- Please Select --Building and constructionContract cleaningCommunity services

Customer type

-- Please Select --WorkerEmployerLevy payerCouncil/Private CertifierOther

Title

-- Please Select --MrMrsMsMissMx

First Name *

Last Name *

Business name (if applicable)

Phone *

Email *

Address *

Suburb *

State

ACTNSWNTQLDSATASVICWA

Postcode *

Complaint details

Have you raised this issue with QLeave before?

• Yes
• No

Please provide details of why you were dissatisfied with our earlier response

Please provide details of your complaint outlining what happened, when it happened, who was involved and how it has affected you.

Do you have any documentation to support your complaint?

• Yes
• No

Please attach any supporting documents

Additional supporting document 01

Additional supporting document 02

Tell us what you like to happen to resolve your complaint *

Declaration

I certify that the information provided is true and correct to the best of my knowledge. *

• Yes
• No

Name

Date *