Feedback or Appeal

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1Your Details

2Your Feedback or Appeal

Name*

First Last

Email (optional)

Enter Email Confirm Email

Phone*

Address*

Street Address Suburb State Postcode

Relationship to service*

Tenant

Applicant

Other

If other please specify

Do you wish for this feedback to be treated confidentially?*

Yes

Do you require an interpreter?*

Yes

Which language?

I want to*

Give a compliment

Make a suggestion

Request an appeal

Make a complaint about my neighbour

Make a complaint about our service

Other

If other please state

Please add details of your Appeal or Complaint below.

Please enter details of your compliment or suggestion below.

Details*

(Detail your concern, issue, suggestion or compliment, refer to below examples and prompts)

What: happened, or what is the reason for your feedback
Where: describe the location, address and whether outside the property, in the common areas, in a public place such as on the road or footpath, etc.
When: date/s, time and duration
Who: was involved

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Complaint or appeal

What have you done to resolve this matter?*

Please tell us about any conversations, letters, visits or meetings, reports made, and PROMIS numbers?

File

Upload up to 3 supporting documents

Drop files here or

Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 256 MB, Max. files: 3.

How is this matter affecting you?*

What is the urgency of this matter?*

What do you believe is the most fair and appropriate outcome for this matter?*

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end complaint or appeal

Acknowledgement*

Feedback Complaints and Appeals Brochure

I confirm I have read the Feedback, Complaints and Appeals Brochure and understand the process that will be undertaken to address the concerns I have raised.

Signature*

Submit online

Use this form to send in a compliment, complaint or appeal.

On page 1, enter your contact information, then click next to enter the details of your feedback or appeal.

A copy of your message will be sent to CHCA and the email address you enter.

Related downloads:

Complaints Policy

Customer Service Charter