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Submit a Complaint

This form can be used to make a complaint about the way your case has been handled by the Complaints Investigation Scheme, or the conduct of the Aged Care Standards and Accreditation Agency and the conduct their officers in carrying out audits or making support contacts.

It is NOT a way to lodge a complaint about individual Aged Care service providers, nursing homes or facilities. Please refer all complaints of this nature to the Complaints Investigation Scheme on 1800 550 552.

We will only use the information you provide on this form for the purpose of dealing with your complaint. In order to deal with your complaint effectively, and depending on the nature of your complaint it may be necessary to disclose the information you provide on this form to the Department of Health and Ageing, which operates the Complaints Investigation Scheme OR the Aged Care Standards and Accreditation Agency.

For general information about privacy protection on this website, please see the Privacy Statement.

Online Complaint Form

1. Please select whether you wish to make a complaint about the Complaints Investigation Scheme, the Aged Care Standards and Accreditation Agency and/or the conduct of persons carrying out audits or making support contacts: * Complaints Investigation Scheme Aged Care Standards & Accreditation Agency
2. Please select the State/Territory in which the relevant office is located: * Select State / Territory Office ACT NSW NT QLD SA TAS VIC WA
3. Set out the details of your complaint below *

4. Have you contacted the relevant office of the Scheme or Agency you are complaining about to try and resolve the problem? *

   Yes No
5. If you have contacted the State/Territory Office concerned, what happened?
6. The legislation requires that you lodge a complaint with the Scheme or the Agency OR that you advise the Scheme or the Agency that are lodging a complaint with the Commissioner. Have you advised the Scheme or the Agency that you are lodging a complaint with the Commissioner? Yes No Date Advised
7. Please enter any reference number or file number from the Complaints Investigation Scheme or Agency State/Territory Office you are complaining about.

8. Do you wish to send any supporting documentation?

   Yes No

   If you have paper copies of documents or correspondence you wish to send us in support of your complaint, you can post it to:

   Locked Bag 3
   Collins Street East
   VIC 8003, Australia.

9. What would you like to happen to resolve your complaint?
10. Family/Business name: *
11. Given name(s):
12. Title:
13. Email address:
14. Postal Address: *
15. Suburb/Town: *
16. State * Select State ACT NSW NT QLD SA TAS VIC WA
17. Post code: *
18. Daytime phone number: