FHRADC DB
FHRADC DB
Public Complaint Form
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[Personal detail] Name
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Are you complaining on behalf of someone else?
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Yes
No
Please check the type of complaint, as relevant.
Children
Discrimination
Employment
Other (please provide details below)
Police misconduct / inaction
Social welfare
Violence and torture
Right to Privacy
Right to be free from removal and protection asylum-seekers
If other type of complaint, please specify.
Please provide details about the incident.
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What kind of assistance/outcome do you want from the Commission? Please provide details.
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[Personal detail] Age
[Personal detail] Age range
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0-17
18-35
36-64
>65
[Personal detail] Ethnicity
Rotuman
Indo-fijian
iTaukei
Other
Foreign national (Iraqi)
Foreign National (Yameen)
Foreign National (Syria)
[Personal detail] Gender
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Male
Female
Other
[Personal detail] Disability
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Yes
No
Relevant division
Central
East
North
South
West
Maritime islands
western
Iraq
Yameen
Syria
Relevant province
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[Personal detail] Residential and/or postal address
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[Personal detail] Phone contact and email address
[Alleged offender detail] Name
[Alleged offender detail] Type of respondent
State
NGO, please provide more details below
Private, please provide more details below
Legal Aid Commission
Department of Immigration/ UN Refugee Agency in Canberra
[Alleged offender detail] If other, please specify.
[Alleged offender detail] Residential and/or postal address
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[Alleged offender detail] Phone contact and email address
Have you lodged your complaint or sought assistance from any other institution? If yes, please provide details.
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Attachments
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