Independent Consumer & Competition Commission
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ICCC Complaint/Inqiury Form
 
(Fields with * are required to be filled in)
Please complete this form if you would like to submit a complaint about a possible breach of the Trade

Practices Act or the Prices Surveilance Act. If you wish to make an anonymous complaint please phone 180 3333.

Personal details

Title:
First Name: *
Last Name: *

Address for correspondence

P.O.Box
City:
Country:
Post Code:

Contact details

Business Hours Phone Number:
Alternate Phone Number:
Email Address:

Complaint Details

Product /Service Description:
Brief description of the complaint (limited to approx. 12 lines; ):
*