Participant Complaint Form

A warm, accessible complaint form designed for participants — with anonymous option, named external avenues, and an office-use section at the back.

The form a PARTICIPANT (or someone speaking on their behalf) fills in. Different from the internal Complaints Handling Procedure — this is what gets handed across the desk or downloaded from your website.

Written warmly and accessibly. Anonymous option included. External avenues named explicitly (NDIS Commission, advocates, public guardian) so participants know they don't have to come to you first. Office-use section at the back captures reference number, acknowledgement date, investigation timeline, outcome, and CI Register link.

Make it easy to access — keep on your website, in your office, and hand to every new participant at intake.

What's included

• 5-page participant complaint form (editable .docx)
• Anonymous option
• Plain-English questions
• What they'd like to happen section
• Named external avenues
• Advocate referral request
• Office-use-only section
• Practice Standards reference (Complaints Management)

FAQs

Q. Different from Complaints Handling Procedure?
A. Yes. This is the participant-facing form. The Procedure (KS-05) is the internal process.

Q. Should it be accessible online?
A. Yes — publish on your website, hand at intake, and in your office. Keep barrier to making a complaint very low.

Q. Editable?
A. Yes, Word .docx.

Q. Affiliated with NDIS Commission?
A. No. Independent.

Q. Refund policy?
A. Non-refundable once accessed.

Format: Single .docx (5 pages)

Template by Northform Health. Not legal, regulatory or clinical advice. Not affiliated with the NDIS Quality and Safeguards Commission. Single-user licence. Digital downloads are non-refundable once accessed.