Mitchell Shire Council Complaints Form

Complaints form
Full name*

First nameLast name
Phone number*
Email*
example@example.com
Note: If you do not provide contact details, Council may not be able to action your complaint.
Address*

Street address

Street address line 2

SuburbState

Post code
CouncillorsContractorsServicesStaffProperty damageOther
YesNo
Please select the department your complaint relates to*
What date did the incident occur?

DayMonthYear
Details of your complaint*
YesNo
Note: Council may not be able to action the complaint accordingly if the detail provided isn’t sufficient and we are unable to contact you for further information.
Collection of information
Personal information collected by Council is used for municipal purposes as specified in the Local Government Act, 2020 or other relevant legislation. The personal information will be used solely by Council for these purposes and or directly related purposes. Council may disclose this information to other organisations, if required by legislation.

The collection and handling of personal information is conducted in accordance with Council’s Privacy Policy. Please refer to Council's Privacy Statement and Privacy Policy on our website for further information about your rights.
I have read and agree to Council's Privacy StatementI have read and agree to Councils Complaint PolicyI confirm that I have provided Mitchell Shire Council with true and accurate information
Source
Should be Empty:

Complaints form