Complaints And Compliments

If you need to report an accident or incident, please do so using Njernda’s Incident Report Form which is located on the intranet.

Njernda Aboriginal Corporation is committed to providing high quality care and services and meeting client needs. We value your feedback including complaints.

Please use this form if you would like to provide feedback or a complaint in relation to:

1. Services provided by Njernda Aboriginal Corporation or onsite; or
2. Behaviour or actions of Njernda Aboriginal Corporation Board members, CEO, staff members or contractors.

Indicate your response

Do you require an interpreter?
YesNo

If Yes, which language?

Are you providing feedback on another person’s behalf?
No (go to Section 3)Yes

Please provide the following details about the person you are acting on behalf of:

Please provide details of your relationship to the person you are acting on behalf of.(e.g. parent of a child under 18 years or guardian

Are you a legal representative for the person who received the service?
YesNo

If Yes, please provide details of your relationship to the person you are acting on behalf of.

Does the person know you are making a complaint on their behalf?
YesNo

If No, please provide the reason why the person don't know

Are we able to speak with the person who received the service?
YesNo

If No, please tell us the reason why we are not able to speak with the person

Name of the unit or program within Njernda Aboriginal Corporation:

Contact person’s name:

Please provide details of your main concerns, including what led you to making the feedback or complaint, approximate dates and who was involved.

Please state your concerns

Have you already discussed your feedback or concerns with staff at Njernda Aboriginal Corporation or another agency or person?
YesNo

If Yes, who did you talk to and what was the outcome?

What outcomes would you like to see because of providing your feedback or complaint?

Enter Word Verification in box below*

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Complaints And Compliments

Complaints And Compliments

Section 1: Your details

Section 2: Feedback made on another person’s behalf

Section 3: Please provide details of the service that the feedback or complaint is about

Section 4: Please state your concerns

Section 5: What action have you already taken in relation to this feedback or complaint?

Section 6: What outcomes would you like to see because of providing your feedback or complaint?