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Complainant details and authorization form Case Number: Please fill in the following information and return to the Health and Disability Service Complaints Office (Had SCO), PO Box B61, Perth, Western

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How to fill out complainant details and authorisation

To fill out complainant details and authorisation, follow these steps:

01

Start by gathering the necessary information about the complainant, such as their full name, contact details, and any other relevant identification information.

02

In the complainant details section, provide the complainant's name in the designated field. Make sure to accurately enter their first name, middle name (if applicable), and last name.

03

Proceed to fill in the complainant's contact details, including their phone number and email address. This information is crucial for communication purposes throughout the complaint handling process.

04

If the complainant has an assigned reference or case number, ensure it is entered correctly in the corresponding field. This number helps in tracking the complaint and referencing it in future correspondence.

05

In the authorisation section, the complainant may need to provide their signature or other forms of consent to authorize the complaint process. This authorization can vary depending on the specific circumstances and requirements of the organization or agency involved.

06

Additionally, some complaints may require the complainant to attach supporting documents, such as receipts, invoices, or evidence related to the complaint. If applicable, make sure to include all requested documents according to the instructions provided.

Who needs complainant details and authorisation?

Complainant details and authorisation are required for individuals or entities filing a complaint. This information helps establish the identity and contact details of the complainant, ensuring proper communication and documentation throughout the complaint resolution process. The authorisation aspect ensures that the complainant acknowledges and consents to the handling of their complaint by the relevant organization or agency.

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What is complainant details and authorisation?

Complainant details and authorisation refer to the information provided by the individual or entity filing a complaint, including their contact information and authorization to act on behalf of the complaint.

Who is required to file complainant details and authorisation?

Any individual or entity filing a complaint is required to provide complainant details and authorisation.

How to fill out complainant details and authorisation?

Complainant details and authorisation can be filled out by providing accurate contact information and signing the authorization form.

What is the purpose of complainant details and authorisation?

The purpose of complainant details and authorisation is to ensure that the complaint is filed by an authorized individual or entity and to provide contact information for communication.

What information must be reported on complainant details and authorisation?

Information such as full name, address, phone number, email address, and signature are typically required on complainant details and authorisation.

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