Submission Type FeedbackComplaint Personal Information By providing personal information to the Society, you consent to the use, storage, and disclosure of that information as described in the Society’s Privacy Policy (available on Vinnies’ website) for the purposes of registering your feedback and/or investigating and responding to your complaint. We do accept anonymous complaints, however, by providing your name we will be able to investigate more thoroughly and we will be able to provide you with feedback. Name Advocate's Name (optional) Phone/Mobile Email Address Preferred method of contact: PhoneEmailMail Preferred Language Interpreter required YesNo Feedback/Complaint Details Please provide a summary of your feedback/complaint below. Date and time of occurrence: Location of occurrence: Type of service this feedback relates to: Name of individuals involved (if known): Name of any witnesses (if known): Description - Tell us what happened, who was involved, where it happened, and your main feedback or concern(s). Include copies of any documents/evidence that supports your feedback or complaint: File Attachment 1 File Attachment 2 File Attachment 3 File Attachment 4 File Attachment 5 How would you like us to resolve this matter: Can we contact you if we need to? We may need to contact you to gather more details: YesNo This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
