Property Enquiry / Complaint - Dispute Details
Have you discussed your complaint with the Other party? (required)
Please Select
Yes
No
Total Attachment Size exceeds 10MB
Property Enquiry / Complaint - Who is your dispute with?
Phone numbers must have exactly 10 digits without any special characters or spaces.
Please enter a valid state code (ACT, NSW, NT, QLD, SA, TAS, VIC or WA)
Please enter a valid numeric postcode.
Suburb names can only have letters and spaces.
Please enter a valid email address.
Property Enquiry / Complaint - Is anyone else involved?
Phone numbers must have exactly 10 digits without any special characters or spaces.
Please enter a valid state code (ACT, NSW, NT, QLD, SA, TAS, VIC or WA)
Please enter a valid email address.
Please enter a valid numeric postcode.
Suburb names can only have letters and spaces.
Property Enquiry / Complaint - Your Details
Title
Select Title
Mr
Mrs
Miss
Ms
Dr
First Name (required)
Family Name (required)
Please select two forms of contact you prefer
To enable us to better assist you, we need the following information (answers to all these questions are required):
Which age group are you in? (required)
Select age group
<18
18-24
25-34
35-44
45-54
55-64
>64
Prefer not to answer
Are you of Aboriginal or Torres Strait Islander origin? (required)
Select ethnicity
No
Yes, Aboriginal
Yes, Torres Strait Islander
Yes, both Aboriginal & Torres Strait Islander
Prefer not to answer
Do you have a disability or additional support needs? (required)
Select disability
Yes
No
Prefer not to answer
Do you speak English as a second language? (required)
Select second language
Yes
No
Prefer not to answer
Are you a carer/advocate making a complaint on behalf of someone else? (required)
Select carer
Yes
No
Prefer not to answer
Was the product or service you are complaining about purchased through funding under the National Disability Insurance Scheme (NDIS) or My Aged Care program? (required)
Select funding
Not Applicable
My Aged Care
NDIS
Names can only have letters and spaces.
Please enter a valid numeric postcode.
Suburb names can only have letters and spaces.
Phone numbers must have exactly 10 digits without any special characters or spaces.
Please enter a valid email address.
Please enter a valid state code (ACT, NSW, NT, QLD, SA, TAS, VIC or WA)
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