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Get the free Easy English Complaint form (PDF 1490Kb) - dhs vic gov

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Complaint Form First Name Last Name Address Telephone / TTY Mobile phone Email Disability Services Commissioner Complaint For — Easy English — v1-2011 Page 1 of 4 Tell us what made you unhappy
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To fill out an easy English complaint form, follow these steps:

01
Begin by gathering all the necessary information related to your complaint, such as dates, names, and any supporting documents or evidence.
02
Start by providing your personal details in the designated fields, including your full name, address, and contact information. Make sure to double-check for accuracy.
03
Next, clearly state the nature of your complaint in a concise and specific manner. Use simple and easy-to-understand language, avoiding any jargon or technical terms.
04
Provide a detailed account of the incident or situation that caused your complaint. Include relevant facts, dates, and any witnesses or evidence that support your case.
05
If applicable, explain any attempts you have made to resolve the issue before filing the complaint. This may involve contacting specific individuals or departments, documenting correspondence, or keeping records of previous interactions.
06
Indicate the desired outcome or resolution you are seeking. Be realistic and specific about what you expect as a result of filing your complaint.
07
Finally, review your completed form to ensure all sections are filled out accurately and legibly. Make any necessary corrections and sign the form with your full name and the date.
7.1
The easy English complaint form is primarily designed for individuals who may have limited proficiency in the English language or prefer a simplified format. This includes:
08
Non-native English speakers who feel more comfortable expressing their complaints in their native language but still require an English version of the form for administrative purposes.
09
Individuals with low literacy levels or limited education who find it challenging to understand complex forms or legal language.
10
Elderly individuals who may not be familiar with modern terminology or technical vocabulary commonly used in traditional complaint forms.
11
People with cognitive disabilities or learning difficulties who benefit from clear and straightforward instructions.
12
Individuals who simply prefer a user-friendly and easy-to-understand format, regardless of their language proficiency.
By offering an easy English complaint form, organizations can promote inclusivity, ensuring that everyone has access to a fair and effective complaint resolution process.
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The easy english complaint form is a simplified version of the complaint form that is specifically designed to be easier to understand for individuals who have limited English proficiency.
Any individual who wants to file a complaint and has limited English proficiency can use the easy english complaint form.
To fill out the easy english complaint form, you need to provide your personal information, describe the complaint in simple language, and provide any supporting documents or evidence if available.
The purpose of the easy english complaint form is to ensure that individuals with limited English proficiency can effectively communicate their complaints and have them understood by relevant authorities.
The easy english complaint form typically requires information such as personal details (name, contact information), a clear description of the complaint, and any supporting evidence or documentation.
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