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Commercial operator complaint form

Complainant

Nature of complaint

Note: If you want to make a complaint about a testing officer, please use a separate complaint form available here.

Time/date/place of incident

Details of incident

Please describe:

  • What occurred exactly
  • What words were spoken and by whom
  • Details of any witnesses to the incident
  • Your response (if any) to the incident
  • How the incident made you feel
  • Any additional information you think is relevant

Identity of Transport Operator; driver or person complained about

Sex

Description of vehicle complained about, if applicable

Additional information

Were any notes made after the incident?
Was the incident reported to any other agency?
If so, to whom?

Signature

The information requested through this complaint form is required to process your inquiry. All information contained in this form will be held by the NZ Transport Agency and treated as confidential subject to the Official Information Act 1982 and the Privacy Act 1993.

Information that you submit to the Transport Agency through this process will be used to investigate your complaint. The information may also be disclosed to the commercial operator and/or driver your complaint relates to for this purpose. If you do not provide the information required by this form, the Transport Agency may be unable to process your complaint.

Under the Privacy Act 1993, you have the right to request access to and correction of any personal information you supply as part of this process from the Transport Agency. Should you wish to exercise these rights, please contact the NZ Transport Agency, Privacy Bag 11777. Palmerston north 4442 or email info@nzta.govt.nz.

By typing your name in the field below you are confirming that all the details above are true and correct.

I declare that the details given are true and correct. (required)
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