Complaints Form

COMPLAINT OF BREACH OF THE NEW ZEALAND AUDIOLOGICAL SOCIETY CODE OF ETHICS

A copy of this complaint form and any attachments may be provided to the individual(s) against whom the complaint is filed. The Complaints Board does not accept anonymous complaints.

NZAS’s Code of Ethics, Complaints Procedures and other ethics-related information are available here.

COMPLAINANT: (Individual filing the complaint)

Name

Address

Telephone

SUBJECT OF THE COMPLAINT: (Individual against whom the complaint is directed)

Name

Address (if known)

Telephone (if known)

Email (if known)

Details of Complaint:

Description of complaint

Please upload supporting documents

Supporting Document

Declaration

I affirm that the statements/information within this complaint are correct and truthful to the best of my knowledge.

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New Zealand Audiological Society

PO Box 36067

Northcote

Auckland 0748

admin@audiology.org.nz

0800 625 166 (NZ only) or +64 9 817 9498

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Complaints Form

COMPLAINT OF BREACH OF THE NEW ZEALAND AUDIOLOGICAL SOCIETY CODE OF ETHICS

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