Proactivity Incident / Complaint Form

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Has something gone wrong?

If you are concerned or unhappy about something we would like to hear about it by filling out this form and will take it seriously. If you need help when using this form or would rather speak to us, you can call us on (03) 97203650.

You can also download a printable version of this form to fill out.

1. Tell us about you

Your name(Required)

First name Last name

Where did it happen?(Required)

School

School Holiday Program Venue

House / Birthday Party

Park / Community Event

Sporting Club

Somewhere else

Name of school / venue(Required)

Are you okay with us contacting you?(Required)

For adults - we might need to talk to you to help fix your problem. For young persons - we will contact you through the school or venue where you did the activity or program.

Yes

2. Tell us what happened

Who or what are you unhappy with?(Required)

Tell us what happened. Tell us if there were other people who saw what happened and who was involved?

When did it happen?(Required)

What would make you happy?(Required)

Your safety is our priority so we will make sure we will report your concerns so they are taken seriously and acted on.

You can post or email this form to us.

Our contact details are:

By Post:
Proactivity
PO Box 1044,
Bayswater VIC 3153

Phone or Email:
Phone (9am-5pm weekdays): (03) 9720 3650
Email: [email protected]

Your Privacy

We ask you for some personal information (like your name and how to contact you) so we can do something about what you are unhappy about. We also need to make sure you are safe and supported. Asking for this information is part of our child safe policy and our commitment to listening and responding to children and young people. We won’t use or disclose your personal information for any other reason than dealing with your complaint.