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Complaint Form (Complaint by a patient)ACT AMBULANCE SERVICE ACT EMERGENCY SERVICES AGENCYPlease return completed form to; ACT Ambulance Service Consumer Engagement & Liaison Officer GPO Box 158 Canberra

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Obtain a copy of the complaint form a-act.

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Fill in your personal information including name, contact details, and any relevant identification details.

03

Clearly describe the issue or incident that you are filing a complaint about.

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Provide any supporting documentation or evidence that may be helpful in investigating the complaint.

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Sign and date the form before submitting it to the appropriate department or authority.

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What is complaint form a -act?

Complaint form A-act is a form used to report any violations or misconduct related to a specific act or regulation.

Who is required to file complaint form a -act?

Any individual or organization that has relevant information about a violation or misconduct related to the specific act or regulation is required to file complaint form A-act.

How to fill out complaint form a -act?

Complaint form A-act can be filled out by providing detailed information about the violation or misconduct, including dates, locations, and any supporting evidence.

What is the purpose of complaint form a -act?

The purpose of complaint form A-act is to bring attention to and address any violations or misconduct related to the specific act or regulation.

What information must be reported on complaint form a -act?

The information reported on complaint form A-act must include details about the violation or misconduct, as well as any supporting evidence.

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