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Please provide us with as much information as possible so we can effectively address your feedback or concern.

* Indicates mandatory fields

My feedback or concern is: *

What I would like to see happen: *

To ensure we can provide you with a response, please complete the
following details:

Title:
* First name:
* Surname:
* Address:
* Phone number:
Mobile:
Email:

I prefer to be contacted by: *

Phone Mail Email

Privacy statement:

The Department of Housing is collecting personal information on this form for purposes related to investigating your complaint. The department may also use this information for housing-related research, policy or planning functions. Personal information will only be disclosed to third parties with your consent or in accordance with the Queensland Government’s Information Standard 42.

Last updated 16 November 2009