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Template Comp

Phone or email
Date Time Name contact details
Template Complaints Register

Complaint type Response action Actioned by Status


Insert link to
Complainant associated
Date satisfaction documents
Complaint mapping
Type of
complainant Gender Age Disability type Location
apping
Investigation Other notes or
Staff type type comments
Abuse Female Infant 0-2 y/o Cognitive Allied Health

Conduct Male Pre-schooler 2- 6 y/o Intellectual Area Manager

Environment School age 6-12 y/o Neurological CEO

Financial Older child 12-18 y/o Physical Domestic


Harm Young adult 18-24 y/o Psychosocial Executive
Neglect Adult 25+ Sensory Manager

Physical Senior 55+ Regional Manager


Restrictive
Practice Aged 65+ Support Worker
none
Very
Executive Authority/DSC Home satisfied Investigating
Investigation
Family member Internal Work Satisfied complete
Action
Friend Not required Community Neither proposed
Action
Guardian Police Service point Not satisfied complete
Manager Escalating Resolved
Other provider Unresolved

Person with disability

Staff
Visitor

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