Complaints Form

ORGFM02 - Complaint Form

Please be advised that we take complaints very seriously at Bega and abide by our organisation’s policies in regard to Complaint management and ensuring your Privacy and Confidentiality. For more information, please refer to these policies on our website: www.bega.org.au

All complaints must be reported to our Complaints Officer, the Chief Operations Officer (COO) or in their absence, the People and Culture Manager.

Please note that you may contacted to provide further information or clarification during an investigation into the complaint.

Complainant Personal Details
First Name:*
Last Name:*
Address:*
Telephone Number:*
Email Address:*
Preferred Contact Method:*
- Letter
- Email
- Telephone
Are you lodging this complaint on behalf of another person?*
- No
- Yes
Please provide their name and relationship to you:
About the Complaint
Please enter the name or title of the person your complaint involves?*
Date and time information (When did matter in question occur)*
Location of where incident occurred:*
Please describe the nature of your complaint (What happened for you to make this complaint)*
Please provide details about the events, location and who was involved.
Do you have photos, documents, emails, letters, or other evidence you wish to provide?*
- Yes
- No
Attach file:
Drop files here or

Max. file size: 128 MB.
Before submitting your complaint, please acknowledge the following:
- I declare that the information provided in this complaint is a true and accurate record of matters pertaining this complaint.
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

ORGFM02 - Complaint Form

Complainant Personal Details

About the Complaint

Mobile Clinic

Clinical Services

Specialist Clinic Schedules