Public Complaint Form

Tell us what happened. Your complaint will receive a separate tracking ID.

1. Complainant information
Full name
Phone number
Email address
Application tracking ID (if available)
Optional - enter the tracking ID of your welfare application
Mailing address
2. Department details
Department name
Office location / branch
Employee name (if known)
3. Complaint details
Date of incident
Time of incident (optional)

Nature of complaint (select all that apply)

Other complaint type
4. Description of incident
Clear factual description
Include specific details, dates and names.
5. Evidence and witnesses

Attach up to 5 supporting PDF or image files (receipts, emails or photos), maximum 10 MB each.

Witness names and contact details (if applicable)
6. Desired resolution
What action would you like the department to take?
7. Declaration
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