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Formal Complaint Form We value your feedback, both positive and negative, to enable continuous improvement of the department’s services. About this Form Wherever possible, complaints are best resolved by front-line staff. Where a concern or complaint cannot be resolved this way, a formal complaint may be lodged via this form. Complaints will be handled as per the Department of Planning and Environment’s Complaints Handling Policy which defines a complaint as: "An expression of dissatisfaction made to or about an organisation, related to its products, services, staff, or the handling of a complaint, where a response or resolution is explicitly or implicitly expected or legally required." Your Details Contact details are collected for the purposes of dealing with the complaint only and, if submitted, they will be stored in accordance with the Privacy and Personal Information Protection Act 1998 (PPIPA). Please see our Privacy statement for more information. Title MrMrsMissMsDr First Name Last Name Preferred Contact Number Email Address Are you making this complaint on behalf of another person? NoYes You may submit a complaint without providing contact details, but anonymous complaints will only be investigated where sufficient detail is provided to substantiate a valid complaint. Any investigation may be hampered by our inability to seek further information and details from you. Also, it is not possible to update a complainant on outcomes when no contact details have been provided. About the Complaint * Branch to which feedback applies Titles ServicesGeological Survey of NSWResources GovernanceResources PolicyEnvironmental Sustainability Unit Team or individual to which the complaint applies (if known) List all name (include candidate, examiner and/or staff member if appropriate) Record names and list their role or position where known. For example, Jim Jones, examiner, Mine Safety, where not known - indicate unknown.  New Title First Name Last Name Role or Position (where known) 1 MrMrsMissMsDr Delete  * Please give the details of your complaint, providing as much information as possible (This may include a short summary of the issue, any actions by the Department relevant to your complaint, the names (if known) of any staff members involved in the issue). If you want to include any relevant documents, please attach them below. Please note, the maximum recommended size per uploaded file is 2MB.  New Document 1 (uploadDoc) Delete  * What do you want to happen for your complaint to be resolved?

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