Online complaint form

The online complaint form gathers the information necessary to ensure that your complaint can be assessed efficiently.

Your complaint will be submitted over a secure connection and a reference number will be provided to confirm that it has been received. The process allows you to review the form and print it.

The form has been designed to take you to the appropriate questions based upon your answers. This means that questions may not appear in a strict numerical sequence.

You can save your submission’s progress at any stage throughout the form. To do so you need to select the “Save and Exit” button located at the end of each page. You will be prompted to provide your email address and an email will then be sent with details of how to return to your submission to complete it. Your saved submission remains active for thirty days after which it will be deleted.

Everything you send us, including your address for service will be copied and sent to the people you are complaining about. If you don't want your details given out, contact the commission to discuss your options.

If you require any assistance please refer to the information provided at Making a complaint, or phone us on 1300 130 670, or email us at enquiries@qhrc.qld.gov.au.

Your submission overview:

Currently viewing Page 1 of 6.

Contact details for complaint

Question 1

Your name

First or given name (Required)

You must enter your first name, for example John.

Family name (Required)

You must enter your last name, for example Chen

Question 2

Are you making this complaint on behalf of someone else? (Required)

It is possible to lodge a compliant on behalf of someone else, for example a child over whom you have legal responsibility.

If you answered Yes to this question, proceed to Question 2.1. If you answered No to this question, proceed to the Question 2.9.

Please select either Yes or No

Enter the contact details of the person on whose behalf you are making this complaint (the complainant)

Question 2.1

The name of the person on whose behalf you are making this complaint

Complainants first or given name (Required)

You must enter the first name of the person on whose behalf you are making the complaint, for example Tan

Complainants family name (Required)

You must enter the last name of the person on whose behalf you are making the complaint, for example Mbosi.

Question 2.2

What is your relationship to the person? (Required)

You must select an option from the list provided.

Question 2.3

Can they make the complaint for themselves? (Required)

If you answered Yes to this question, proceed to Question 4. If you answered No to this question, proceed to Question 3.8.1.1.

Please select either Yes or No

Question 2.3.1

If No, why not? (Required)

For example, their age (child), disability, low English literacy medical condition.

You must provide a reason why the person can't lodge the complaint themselves.

Question 2.4

Address for Service (Required)

This is the address where all correspondence will be sent to you. It can be a postal or email address. This address will be provided to the respondents.

You must provide a residential, business, email, or post office box address where the QHRC and the respondent can send mail to you. All documents and correspondence relating to the complaint will be sent to this address.

You must enter the address for correspondence to be delivered.

Question 2.5

Daytime phone

If there is a phone number that we can contact you on during business hours please provide. Please include the area code, for example 07

Question 2.6

Fax number

Please include the area code, for example 07

Question 2.7

Please enter a valid email address.

Question 2.8

What is the preferred method of contact?

If you select a method please make sure you have provided sufficient information for it to be used, for example your email address if you select email.

Please enter your contact details

Question 2.9

Preferred name

Please enter your preferred name if different from above

Question 2.10

Pronouns

Optional. eg:he/him, she/her, they/them

Question 2.11

Address for Service (Required)

This is the address where all correspondence will be sent to you. It can be a mail or email address. This address will be provided to the respondents.

You must enter the address for correspondence to be delivered.

Question 2.12

Daytime phone

Please include the area code, for example 07

Question 2.13

Fax number

Please include the area code, for example 07

Question 2.14

Please enter a valid email address.

Question 2.15

What is the preferred method of contact?

If you select a method please make sure you have provided sufficient information for it to be used, for example your email address if you select email.

Question 2.16

Do you need an interpreter?

Please answer Yes or No.

Question 2.16.1

If yes, what language?

Question 2.17

Do you need any other assistance?

For example: assisted communication or access. Please answer Yes or No.

Question 2.17.1

If yes, what assistance do you need?

Save and Exit

You have elected to leave this form prior to completion. An email will be sent to the address you provide with details of how to return to your submission and complete it. Your saved submission remains active for thirty days after which it will be deleted.

If you do not receive an email, please contact us on 1300 130 670. (If you have clicked the Save and Exit button in error, click here to resume your submission.)

To continue, please provide your email address: