COMPLAINTS AND APPEALS FORM

COMPLAINTS AND APPEALS FORM

ORYGEN RTO

Nature of your matter*

COMPLAINT

APPEAL

Your personal details:

Surname*

Legal Name*

Preferred name

Title

Address line 1*

Suburb, state and postcode*

Contact phone number*

Email address*

Course name*

Trainer/s &/or Assessor/s*

Date of occurrence*

Reason for your submission / concern*

Occurrences leading up to this submission

(Outline any steps taken prior to submitting your formal complaint or appeal)

Details of any other parties involved

(include full name and position)

Additional Documents

(attach any additional supporting documents)

Drag and drop files here or

Outcome/s you are seeking from this process

Declaration*

By checking this box and submitting it to the Complaints Officer, I certify that the information provided is true and correct.

Send me a copy of my responses