Please enable JavaScript in your browser to complete this form.

Name

First

Last

Address

Street Address

seeking remain Phone

Street Address Line 2

City

Sate/Province

Postal/Zip Code

Phone Number

What is your Complaint/Feedback about?

Please provide some details to help us understand your concerns. You should include what happened, where it happened, the time it happened, and who was involved.

Supporting Information

Please attach copies of any documentation that may help us to investigate your complaint/feedback(for example letters, references, emails). You can include photos if you have them.

What outcomes are you seeking as a result of the complaint?

Do you want to remain anonymous?

If you answer yes, we will keep your name anonymous throughout our investigation of your complaint.

What are you looking for?

Connect with us

Important Links

NDIS Website

NDIS Commission

Disability Gateway

People with Disability Australia

Australian Human Rights Commission

Feedback Forms

Make a Complaint

Provide feedback