Complaint form

Q1. Have you sought to resolve this complaint with the relevant service provider? *

Generally it is preferred that the complainant contact the service provider to attempt to resolve the complaint prior to lodging the complaint with the Children's Commissioner. Though we also appreciate that in some circumstances that is not appropriate.

• Yes
• No

Q2. Have you already lodged this particular complaint with the Children's Commissioner? *

• Yes
• No

Q3. Which Service Provider do you wish to make a complaint about? *

• Territory Families - Child Protection
• Territory Families - Youth Justice including Detention
• Department of Health - Mental Health, Disability or Volatile Substance Treatment
• Other

Other (please specify)

Q4. When were these services provided or meant to have taken place? *

Generally the Children's Commissioner will only accept a complaint if it is within 12 months of when the service was provided or when the service was meant to be provided.

Q5. Please provide details of your complaint *

300 words or less.

Q6. Are there any current or on-going court proceedings related to this complaint? *

• Yes
• No

Q7. What is the outcome you want from making this complaint? *

Q8. Do you speak a language other than English?

• Yes
• No

If yes, please details

Q9. Will you require an interpreter to discuss this complaint further with our office?

• Yes
• No

Q10. Do you have another special needs we should consider when communicating with you?

• Yes
• No