Australian Association of Social Workers | Ethics Complaint Management Process Form

CONFIDENTIALITY AGREEMENT

Ethics Complaints Management Process

Complaints Form

The AASW requires complaints about social workers to be submitted via this fully completed complaints form. By completing this form, you should understand that you are submitting a formal complaint to the AASW.

Privacy and Confidentiality Agreement

The AASW is committed to protecting your personal information in accordance with the Privacy Act 1988 (Cth). The ways the AASW may collect, use and disclose your information are set out in our privacy policy.

By signing this form you:

Confirm that you have read the AASW Privacy PolicyConfirm that you have consulted Section 6.2.4 of the AASW By-Laws on Ethics 2024 and are an eligible complainant. Confirm that you have read the AASW ECMP Confidentiality Agreement, and that you understand and accept its provisions. Consent for the AASW to share the details of your complaints or concerns with the parties and others as necessary to process and determine the complaint.Understand that your complaint, including your name and any attached documents, may be sent to the person you are complaining about (the Respondent) and any potential witnesses who might assist the AASW with its inquiries.Give permission for the Respondent (and if applicable, any relevant person and/or potential witnesses) to provide the AASW with any relevant information regarding your complaint, which might include personal and sensitive information about you. Personal and sensitive information will only be collected and used by the AASW to the extent that is necessary to process your complaint and decide on an appropriate course of action.

Third Party Authorisation

Are you making this complaint on behalf of someone else?

Yes.No, I am making the complaint on my behalf.

If yes, you will need the permission of the person directly affected by the matter to authorise you to make the complaint on their behalf. Please complete and submit the AASW ECMP Third Party Authorisation Form.

If the complaint relates to a minor, please be advised that all future correspondence relating to this complaint will not include their details. The details of the complainant will be used.

Document Release

The AASW is unable to use any information or documents that are ’Confidential’, ‘Private’, or owned by an organisation or other body under the Privacy Act 1988 (Cth) unless a release to disclose this information is provided. If applicable, please ask the relevant party to sign a release form (e.g. court, registrar, government department, organisational delegate such as the CEO or authorised representative).

COMPLAINTS FORM

Details of the person making the complaint (Complainant):

Preferred title

Full name

Street address

Town/Suburb

State/Territory

Postcode

Phone number

Details of the person about whom the complaint is being made (Respondent):

Full name

Place employed and address

Position

Phone number

*This information is required as a minimum to submit your complaint.

Complaint details:

Please describe what happened or what you are concerned about.

If you need more space to provide further information, you can submit additional details in writing to ethics.complaint@aasw.asn.au. There will also be opportunities to provide more information if required by the AASW in the future.

Date of incident

What happened and when (include dates)?

Who was involved (include names of individuals involved and what was their role)?

How and when you found out about it?

Please include and other relevant details including any information or evidence to support your complaint. We will contact you if we need further information.

Have you raised your complaint with another complaint body? (eg, a Health Complaints Entity in your State/Territory, AHPRA, NDIS Quality & Safeguards Commission?

If yes, please provide the name of the person or organisation, and outcome (if available):

How would you like to see your complaint resolved?

(Please note that the AASW retains absolute discretion regarding the manner of the complaint resolution and the outcome.)

Signature

Name:

Signature:

Date:

Contact Information