Feedback and Complaint Form

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FeedbackComplaint

PERSONAL INFORMATION: By providing personal information to the Society, you consent to the use, storage, and disclosure of that information as described in the Society’s Privacy Policy (available on Vinnies’ website) for the purposes of registering your feedback and/or investigating and responding to your complaint.

We do accept anonymous complaints, however, by providing your name we will be able to investigate more thoroughly and we will be able to provide you with feedback.

Your First Name

Your Last Name

Your Phone Contact

Your Email Address

Do you want to provide details for an Advocate?

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Advocate's Name

Advocate's Phone Contact

Advocate's Email Address

Your Address

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Suburb

State

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Country

Preferred method of contact

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Preferred language

EnglishOther

Do you require an interpreter?

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Language

Feedback or Complaint Details

Date of occurrence

Location of occurrence

Type of service this feedback or complaint relates to

Name of individuals involved (if known)

Name of any witnesses (if known)

Description - Tell us what happened, who was involved, where it happened, and your main feedback or concern(s)

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How would you like us to resolve this matter?

Your comments

Can we contact you if we need to, we may need to gather more details?

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