Complaint Form Name * First Name Last Name Email * When did it happen? Where did it occur? Who was present? What happened? Who was involved? Why are you making a complaint? - I am making a complaint because... Who witnessed the event? How has this incident made you feel? How has this incident affected you or your whanau? Have you taken any actions? If so, what? As a result of this complaint, what do you want to happen? Thank you!