Internal Ombudsman Shared Service Complaint Form

Generally, the Internal Ombudsman Shared Service will not investigate matters that have not firstly been reviewed or investigated by Inner West Council, in accordance with Council’s Complaints Handling Policy. If you have not previously submitted a complaint to Council, we recommend that you submit your complaint for investigation by Council in the first instance by Council's Feedback and Complaints process.

However, the IOSS may consider matters, prior to Council’s initial review, that we assess to be significantly serious or systemic.

Before making your complaint, you can contact the Internal Ombudsman on 02 8757 9044 for advice or assistance or visit Council’s website for information about the Internal Ombudsman Shared Service.

Complainant details

Name*

Address (Number and street)*

Address (Suburb)*

Phone number*

Complaint details

Nature of complaint*

If other, please provide details

Is this a public interest disclosure? (Council staff only)* - required

Yes

Unsure

Details of complaint (Please specify what happened, where/when this took place, any witnesses or Council officers involved)*

What is the outcome you hope to achieve from any resolution of this complaint?*

Have you previously reported this matter to Council or any other agency (e.g. NSW Ombudsman, legal practitioner etc.)?* - required

Yes

If yes, please provide details (name, date, outcome, follow up action)

If yes, why are you unhappy with their response?

Attachments

We expect complainants to provide us with a copy of their evidence in support of their complaint (such as correspondence with a related agency about the complaint). Please attach relevant documents here (One file only):

Confidentiality

The Internal Ombudsman Shared Service will make all reasonable efforts to protect the information from disclosure, however there can be no legislative guarantee. We also note that due to the nature of your complaint, your identity may become apparent as part of this complaint.

Declaration

I declare that the information provided in this complaint form is true and correct to the best of my knowledge.*

How did you hear about the Internal Ombudsman Shared Service?

If other, please specify

Upon clicking on the below ‘SUBMIT FORM’ button, this form together with any attachments will be emailed directly to the Internal Ombudsman Shared Service for Inner West Council. Your complaint will be acknowledged within three (3) working days.

Mandatory field(s) marked with *