Agriculture Victoria Authorised Officer Conduct Complaint Form

Please complete all fields marked with an asterisk (*).

Which regulatory area does your complaint relate to? *

What regulatory area does your complaint relate to?

Animal Welfare Victoria
Biosecurity
Animal Health
Chemical Standards
Plant Standards
Veterinary
Other (please specify)

Other * Please note that complaints regarding public transport officers are not managed by the Department of Energy, Environment and Climate Action (DEECA) Authorised Officer Complaint Management System.

What feedback are you providing?

Complaint
Other

Please provide your contact details *

Name * Name

Street Address * Street Address

Suburb * Suburb

State * State

Postcode * Postcode

Telephone * Telephone

Email address * Email address

Does this matter relate to the conduct or professionalism of an authorised officer?*

Does this matter relate to the conduct or professionalism of an Authorised Officer?* *

Please provide details of the matter *

Details of the matter Please describe the incident in as much detail as possible, including the date and location, name of the authorised officer and details of any recent communications with DEECA.

Have you taken any action to resolve this complaint?

Have you taken any action to resolve this complaint? *

What outcome are you seeking? *

Explanation
Further information
Written apology
Other (please specify)

Other

Are you prepared to be formally interviewed by Agriculture Victoria in regards to this matter? *

Preferred method of communication*

Preferred method of communication* *

Email
Telephone
Letter
No response required

Declaration *

By ticking this box you declare that the information contained in this report is true and correct to the best of your knowledge.

PLEASE NOTE that any report that is found to be malicious or defamatory may be pursued by Agriculture Victoria and appropriate action taken on behalf of the Authorised Officer.

Page last updated: 22/12/23