Authorised Officer Conduct Complaint Form

Please complete all fields marked with an asterisk (*) 

Which regulatory area does your complaint relate to?*

What feedback are you providing?

Your details

Does this matter relate to the conduct or professionalism of an authorised officer?*

What does your complaint relate to?*

Details of the matter

Please describe the incident in as much detail as possible, including the date and location, name of the authorised officer and details of any recent communications with DEDJTR.

You can use the text field provided or upload a document file

Have you taken any action to resolve this complaint?

What outcome are you seeking? *

Are you prepared to be formally interviewed by the Department in regards to this matter? *

Preferred method of communication*

Is your mailing address the same as the address you have already provided?

Mailing Address

Declaration

PLEASE NOTE that any report that is found to be malicious or defamatory may be pursued by DEDJTR and appropriate action taken on behalf of the Authorised Officer.

Page last updated: 25 July 2018