SPM Complaints Form

Please complete this form if you wish to make a formal complaint about the service provided by Specialised Plan Management. Participants, their families, nominees and the public are welcome to make submissions.

Details of the person lodging the complaint – please leave blank if you’d prefer to remain anonymous

Date

Name

Street

Suburb

Postcode

Phone

If you are lodging this complaint on behalf of a Participant, please provide the Participant’s name and contact details and your relationship to the Participant.

Participant's Name

Phone

Participant Email

Your relationship to the participant

Please specify the nature of your complaint.

Employee of SPM

Name

Quality of Service

Provide Details

Facilities

Location / Name

Specific Incidents

Details

Other

Please Specify

What are the details of your complaint?

How would you like your complaint resolved? What action would you like us to take?