Internal review request (complaints)

Request for Internal Review form

Your details

Your first name *

Surname *

Your address

Daytime phone

Mobile phone (if different to daytime phone)

Email address *

Preferred contact method *

EmailLetter

Request reasons

An Internal Review is a merits review of the complaints process and outcome, not a re-investigation of a complaint. You must identify and provide specific and measurable grounds or reasons for your dissatisfaction with the process and outcome.

The request must be made within 28 days of the original decision.

General grounds for an Internal Review include:

policy or procedure was not appropriately followed by the department in making a decision, or
decision that was not made in accordance with relevant legislation.

Council reference number *Your unique reference number was provided on initial correspondence sent to you from Council in relation to your complaint.

Date of the decision *Note: a request for Internal Review must be submitted within 28 days of the original decision.

Please detail your reasons for requesting the Internal Review. Include:

Why you are seeking the matter to be reviewed.
How the policy or procedure was not followed.
How the decision is not in accordance with the relevant legislation.
How you have been affected by the decision.

What are your reasons for requesting an Internal Review? *

What do you think Council should do to resolve your complaint? *Please note: if you include any new information as part of the Internal Review request that wasn’t provided when the original decision was made, the new information may be provided to the original decision-maker to afford them the opportunity to consider the new information and make a fully informed decision.

Attach any relevant documents to support your request for Internal Review. Multiple files accepted.

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Declaration

I confirm that the information provided on this form is true and correct to the best of my knowledge. *

Privacy statement

Cairns Regional Council is collecting your personal information, including your name, address, email address, and telephone number for the purposes of investigating your complaint. Your information may be shared with investigation officers and with relevant personnel as part of the complaint and investigation process. We will only use your information for this purpose. It will otherwise not be used or disclosed unless authorised or required by law. Your personal information will be handled in accordance with the Information Privacy Act 2009.