Complaint

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First Name *

Last Name *

Address *

Suburb or Town *

Postcode *

Telephone

Does this matter relate to the conduct or professionalism of a fisheries officer?

Date of the incident

Day Month Year

Time (if known)

Hour Minute

Name of the officer

Witness Were there any witnesses to this incident. If so, can you provide their contact details?

Incident Please describe the incident in as much detail as possible, including the date and location, name of the authorised officer and details of any recent communications with VFA.

Have you taken any action to resolve this complaint? For example, raised your concerns with the officer or their supervisor

What outcome are you seeking? Please indicate what action you think should be taken to resolve your complaint e.g. explanation, further information, written apology etc.

Are you prepared to be formally interviewed by the Authority in regards to this matter

Preferred method of communication Would you like the Authority to respond by:

Declaration * PLEASE NOTE that it is an offence to give false or misleading information to an authorised officer.

By selecting this you declare that the information contained in this report is true and correct and acknowledge that it will be submitted to an authorised officer under the Conservation, Forests and Lands Act 1987.

Complaint

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