Disclosure Form

Please complete the form below and one of our service staff will contact you.

Public Interest Disclosure

Use this form to make a Complaint or report of corruption, misconduct or maladministration by TAFE SA or a TAFE SA employee.
Your complaint or report will be forwarded to a TAFE SA Public Interest Disclosure Responsible Officer to action in accordance with the TAFE SA Public Interest Disclosure policy documents.

Who are you making a complaint or report about?

Name (if known)

Position (if known)

Team / Section (if known)

Other identifying factors
^{e.g. appearance, ID number}

Summary of complaint or report

Describe the conduct you wish to register a complaint or report about^*

2000 characters max

When did this conduct occur?^*
^{If the exact date is not known, please estimate}

Open the calendar popup.

When did you become aware of this conduct?^*
^{If the exact date is not known, please estimate}

Open the calendar popup.

Where did this conduct occur?^*

How did you become aware of the conduct?^*

Were there other witnesses to the conduct?^*

if yes,

Name of Witness

Witness' employment position

Have you reported this conduct elsewhere?^*

if yes,

Where did you make the complaint or report?

What action has been taken that you are aware of?

About You

Do you wish to remain anonymous?^*

Are you a public officer?^*

Name

Email address (preferred)

Telephone number (preferred)

Position

Team / Section

Agency

Consent

If your complaint or report requires referral to another agency or authority for further consideration and/or investigation and/or action, do you consent to your personal details being provided to that agency or authority?

I Consent to my details being shared

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