Welcome to J-Net  
   

      

It is expected that complaints will be resolved within the Department; however if you are dissatisfied with the final outcome the Western Australian Ombudsman's Office is available to assist you. Our Customer Feedback Management Policy and Practices provides specific information on how feedback will be managed.

Your Details:
Title:   
Given Names:   
Last Name:   
Organisation:   
Address:   
Suburb: 
    State:      Postcode:   
Country:   
Email:   
Phone No:   
Fax No:   
Mob/Work No:   
Do you require an interpreter?   Yes  No
Language/Dialect:   
Do you have any special requirements e.g. vision impaired/TTY?   
Are you the person affected by the issue?   Yes  No

Other Details:
(If you are representing someone we may need to confirm your authority to act for that person)
Title:   
Given Names:   
Last Name:   
Address:   
Suburb: 
    State:      Postcode:   
Country:   
Phone No:   
Please indicate why you are representing this person: 

The Issue/Feedback:
Feedback Type:   
What part of the organisation does this relate to? 
Division:   
Directorate:   
Branch:   
What happened and who was involved? (maximum 400 words) 
What solution is sought? 
Have you raised the issue before?   Yes  No
Are you prepared to be identified to the individuals involved?   Yes  No
Are you a victim of crime?    Yes  No
Please provide details: 
When:   
Where:   
What happened and who was involved? (maximum 400 words) 
What would your preferred resolution be? 
Have you raised the issue before?   Yes  No
Are you prepared to be identified to the individuals involved?   Yes  No
Are you a victim of crime?    Yes  No
Please provide details: 
When:   
Where:   
What happened and who was involved? (maximum 400 words) 
Have you raised the issue before?   Yes  No
Are you prepared to be identified to the individuals involved?   Yes  No
Please provide details of your suggestion (maximum 400 words): 
Have you raised the issue before?   Yes  No
Are you prepared to be identified to the individuals involved?   Yes  No
Should you wish to change any information after it has been submitted you should contact the Policy Co-ordinator on 08 9264 1213 and quote the allocated reference number (this is provided after you have selected the "Submit" button).