GRANTS – COMPLAINTS FORM (Ref: ART/001705)
If you are dissatisfied with the quality of service you received, please complete this form, and address it CONFIDENTIAL to:
Mr Andrew Abbott
Deputy Secretary
Creative Victoria
or by mail to :
Level 31, 121 Exhibition St
Melbourne Vic 3000
1.YOUR PERSONAL DETAILS
Name:
Business Name (if applicable):
Application Number (if known): APP/
Address:
Phone:
Email:
QUESTIONS
2.Have you read the Creative Victoria Grants Complaints Management Policy?
Yes No (please tick relevant box)
3.Which Creative Victoria funding program does your complaint regard?
4.Have you been spoken with aCreative Victoria staff member regarding this matter?
Yes No (please tick relevant box)
If yes:
Which staff member did you speak to?
(give the names of everyone you have spoken to at Creative Victoria)
When did you speak to them?
(provide dates)
What advice or feedback were you given?
5.Have you previously written to Creative Victoria about this matter?
Yes No (please tick relevant box)
If yes, please attach copies of correspondence, or provide other details, such as the date of the letter
COMPLAINT DETAILS
6.What is the nature of your complaint or dissatisfaction?
7.Please provide any other comments or suggestions.
New laws about the treatment of personal information held by the State Government came into effect on 1 September 2001 with the introduction of the Information Privacy Act 2000 (Act). The Department is committed to protecting the information it collects and uses by compliance with its obligations under that Act. Your contact details will be dealt with in accordance with the Public Records Act 1973 and the Act. Should you have any queries or wish to gain access to your personal information held by this Department please contact our Privacy Officer by writing to that officer at 1 Treasury Place, East Melbourne 3002