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What is the nature of your complaint? *

I have a complaint about a request for official information.

I have a complaint about the conduct of a state sector agency. ?

Specify the name of the Minister or state sector agency you would like to complain about.

Important note: Have you tried to resolve the problem yourself first?

Before you make a complaint to an Ombudsman, you should first try to resolve it with the agency concerned. Many agencies have a complaints process. If this is not the case, you should write to the head or Chief Executive of the agency and make your complaint. An Ombudsman may decide not to investigate your complaint unless you have attempted to do this.

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Are you making a complaint on behalf of another person *

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Who are you complaining on behalf of?

What is your relationship to this person?

Do you have written authority to act on behalf of this person?

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Please provide us with a copy of that authority and indicate below how you are sending it:

(If sending material by post or fax please label clearly with your personal details)

By mail (Address to: Office of the Ombudsman, PO Box 10152, Wellington) By fax (fax number: 04 471 2254) By Attaching a file to this form

What are you complaining about*

Summarise in one or two sentences what action, decision or conduct you are complaining about * Please give details of your complaint *

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Need more space? Send your complaint as an attachment.

What steps have you taken to try & resolve your complaint? Outcome sought

Supporting material

Please indicate what supporting material you are sending:

Copies of correspondence with the agency Other supporting documents

A copy of your request A copy of any correspondence you have had with the agency about your request

Attach complaint documents and/or supporting material

How are you sending the supporting material?

(If sending material by post or fax please label clearly with your personal details)

By mail (Address to: Office of the Ombudsman, PO Box 10152, Wellington) By fax (fax number: 04 471 2254) By Attaching a file to this form

Other Information

Answering the following questions is optional but your answers will help us improve our service delivery.

Do you require an interpreter?

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How did you hear about the Ombudsman?

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We suggest that you check and print the above details for your records before submitting your complaint

A copy of your complaint will be sent to your email address if provided.
If you experienced any problems using this form, please contact us.

Ombudsman - Fairness for All

Office of the Ombudsman | Tari o te Kaitiaki Mana Tangata

What is the nature of your complaint? *

Important note: Have you tried to resolve the problem yourself first?

Personal Details (Use the buttons to select your preferred method of contact)

Are you making a complaint on behalf of another person *

What are you complaining about*

Supporting material

Other Information