Online Complaint Form

Please note: Your session to complete this form will expire after two hours and you will lose all data. To avoid the loss of data, please submit this complaint form within two hours. The details on the form should not take long to complete, but it is best to set aside sufficient time to avoid session expiry. If you need more time to complete and submit this form, please download and print the complaint form (PDF) , which you may return by post, fax or email.

At the end of this form you are required to sign two authorisation statements. To do so you simply need to type your name in the boxes above the final 'submit' button. Failure to complete the authorisation statements will result in your complaint not being submitted to HaDSCO.

What state or territory did you receive the service in?

             

On what date was the service provided?


dd/mm/yyyy

Please note that HaDSCO can only accept complaints that occurred within Western Australia (includes the Indian Ocean Territories).

If the service you received occurred in another state or territory, please view the relevant interstate organisations.

Level Double-A conformance icon, 
          W3C-WAI Web Content Accessibility Guidelines 1.0