Feedback and Anonymous Reporting Form

You can use this form to:

Provide feedback about our services or actions

Submit an anonymous report if you believe a business or person is not meeting their QLeave obligations
Please provide your name and contact details if you would like us to contact you about your feedback.

Your Feedback

Date *

Feedback type

Industry *

Customer type *

Feedback/Report * - Please leave any feedback, questions or details of report in the box below.

What to expect You will receive an acknowledgement of receipt of your report after you have submitted it online. If you do not provide your contact details, you will not receive an acknowledgement of receipt of your report. Any further information you wish to provide in relation to this matter will require a new report to be submitted.

If you would like us to contact you about your feedback, please provide your details.

Your Details

Title

First Name

Last Name

Company Name

Phone .

Email * - If providing an anonymous report this field is not required.

Address

Suburb

State

Postcode

Worker/Employer/Levy Payer Number (if known)

Acknowledgement *

I acknowledge that matters reported anonymously may not necessarily be investigated but the information may be used by QLeave to help plan future education and compliance activities, and gather intel to identify potential systemic issues.

Feedback and Anonymous Reporting Form

You can use this form to: Provide feedback about our services or actions Submit an anonymous report if you believe a business or person is not meeting their QLeave obligations Please provide your name and contact details if you would like us to contact you about your feedback.

If you would like us to contact you about your feedback, please provide your details.

You can use this form to:

Provide feedback about our services or actions

Submit an anonymous report if you believe a business or person is not meeting their QLeave obligations
Please provide your name and contact details if you would like us to contact you about your feedback.