Compliment / Complaint Form

If you have a complaint about Council's standard of service, actions or lack of actions by staff, please complete the form below. We are committed to ensuring that your complaint will be handled with sensitivity and confidentiality, investigated thoroughly and dealt with as quickly as possible.

• Do not use this form if you wish to provide general feedback - use the General Feedback Form.
• Do not use this form if you wish to request a service, e.g. a broken water main / fallen tree on a road.  Contact us for this type of enquiry.

	To register your compliment/complaint complete the form below and click the 'send' button.
	Your email will be sent to: info@waitakere.govt.nz.  For further information on what will happen to your feedback see the Complaints Process.

	Compulsory fields are marked with **
	Your name: **
	Your email address: **
	Postal address:
	Street number: **
	Street name: **
	Suburb: **
	City: **
	Phone number: **
	Fax number:
	Subject:		Select Choice Compliment Complaint Suggestion
	Brief description of your compliment /  complaint or suggestion: **
	Do you require feedback?:		Select Choice Yes No
	If you require feedback how would you like to be contacted?:		Select Choice By Email By Telephone By Letter
	Thank you for your comments.  Your email will be sent to: info@waitakere.govt.nz where it will be registered and tracked in a central system.