MACS Web Referral Form

Do you wish to remain anonymous?

Yes
No

Thank you, you have indicated that you wish remain anonymous. In some situations, complaints may not be able to be fully addressed if they are made anonymously or without sufficient detail provided to enable a fair investigation or resolution of the matter. Where an anonymous complaint is made it is not possible for MACS to make further contact with you to obtain further information or to advise that the complaint has been addressed.

I have read and understand that anonymous complaints may not be fully addressed without sufficient detail provided and that I may not be contactable to provide further information or to be advised of the outcome of my complaint.

Thank you, you have indicated that you do not wish to remain anonymous. Your contact details may be used by an MACS staff member to make contact with you. Please provide the following information.

Thank you, you have indicated that you wish to remain anonymous. Your compliment is appreciated and will be forwarded to the relevant team or staff member to acknowledge their efforts.

Thank you, you have indicated that you wish to remain anonymous. Your 'Feedback/Suggestion' is appreciated and will be directed to the relevant team or staff member for consideration. Where anonymous feedback or suggestions are provided it is not possible for MACS to make further contact with you to obtain further information regarding your feedback or suggestion.

I have read and understand that I have provided Feedback/Suggestion comments anonymously and that I will not be contactable for further information.

First Name

Last Name

Postcode

Phone

Email

My preferred contact method

Email
Phone

Do you need assistance to contact us?

Reason for contact

If other, please list

About my relationship with MACS
I am a
If other, please list
If you can't find your school, please call (03) 9267 0228
MACS Education Setting
Organisation or Information Sharing Entity Name
Type of Query
Please provide details about the General Enquiry
Please provide details about the Compliment
Please provide details about the Feedback/Suggestion
Breach of, or complaint regarding
If other, please list
	I am complaining about the Principal
Complaints of a school-based nature are best received and managed at the local school level. The parties involved should act in good faith and work together with respect and openness to achieve an outcome.
Have you addressed your query with the school?	Yes No
To whom did you speak at the school?
If other, please list
You are encouraged to speak with the school at this stage of the process. Are you open to making contact with the school in an attempt to address your complaint?	Yes No
Thank you, should you provide contact details below, you will be provided with a case number as a result of your report today. Please retain this case number as a reference should you need to make further contact with MACS regarding this matter. The case will remain open for 14 days. Please contact the relevant staff member of your school so that your complaint can be addressed.
Thank you, should you provide contact details below, you will be provided with a case number as a result of your report today. Please retain this case number as a reference should you need to make further contact with MACS regarding this matter. An MACS staff member will make contact with you to discuss your complaint and assist to organise communication with the school.

Complaint Details
What is your complaint about? To assist with complaint resolution, it is beneficial for you to provide a description of the issue. Please include dates, times, places, what did or did not occur and other people you believe might have further information or evidence to support your complaint. Also include any steps you may have taken in relation to the matter to date.
Who does your complaint involve? Please provide name(s), work place and any other details you may have for them
What outcome are you seeking? Please tell us how you would like your complaint resolved

Feedback Form

If you require an interpreter, you can contact the National Translating and Interpreting Service on 131 450

About me
Do you wish to remain anonymous?	Yes No
Thank you, you have indicated that you wish remain anonymous. In some situations, complaints may not be able to be fully addressed if they are made anonymously or without sufficient detail provided to enable a fair investigation or resolution of the matter. Where an anonymous complaint is made it is not possible for MACS to make further contact with you to obtain further information or to advise that the complaint has been addressed.
I have read and understand that anonymous complaints may not be fully addressed without sufficient detail provided and that I may not be contactable to provide further information or to be advised of the outcome of my complaint.
Thank you, you have indicated that you do not wish to remain anonymous. Your contact details may be used by an MACS staff member to make contact with you. Please provide the following information.
Thank you, you have indicated that you wish to remain anonymous. Your compliment is appreciated and will be forwarded to the relevant team or staff member to acknowledge their efforts.
Thank you, you have indicated that you wish to remain anonymous. Your 'Feedback/Suggestion' is appreciated and will be directed to the relevant team or staff member for consideration. Where anonymous feedback or suggestions are provided it is not possible for MACS to make further contact with you to obtain further information regarding your feedback or suggestion.
I have read and understand that I have provided Feedback/Suggestion comments anonymously and that I will not be contactable for further information.
First Name
Last Name
Postcode
Phone
Email
My preferred contact method	Email Phone
Do you need assistance to contact us?
Reason for contact
If other, please list

Privacy Statement
Privacy and consent
I am aware that the MACS Privacy Statement outlines how personal information may be collected, used and disclosed and I can access a copy of the MACS Privacy Policy on the MACS website.

Confidentiality Acknowledgment
Confidentiality
I understand and agree that all parties to a complaint must ensure that during the Complaints Handling Procedure they treat the content of the Complaint and the process as confidential save that all parties are entitled to seek legal advice, to have a support person and to discuss all matters freely with these people.

Evidence or documentation