Feedback form

We welcome your complaints, compliments and suggestions about services we provide and how we deliver them. This helps us improve the way we do things.

We listen to everyone including veterans, providers and people interested in veteran matters

Read more about how we manage complaints, compliments or other feedback.

Do you wish to remain anonymous?

Yes

First name

Last name

Date of Birth

DVA file number

(if applicable)

What type of feedback are you providing?

Compliment

Suggestion

Complaint

Are you providing feedback on behalf of a DVA Client?

Yes

NOTE: We can accept a complaint from a third party (e.g.; family member or ex-service representative). However, personal information cannot be disclosed to anyone without the DVA client's permission unless a relevant Power of Attorney or Guardianship is in place and has been advised to the DVA.

Client's first name

Client's last name

Preferred method of contact

Contact Phone Number

Contact email address

Country

Address line

Address line 2

_(optional)

Suburb

Postcode

State

Have you provided this feedback to anyone else?

Yes

Date of Contact

Tell us your feedback

Tell us your feedback. Include any desired outcome if applicable.

Tell us your desired outcome

State feedback relates to (if known)

Provider/Contractor details

If applicable.

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