General Feedback and Complaint form

Does this relate to the 2018 State Election?*
Please select an option

Is this regarding the services of the Electoral Commission of SA?*
Please select an option

Is this an alleged breach of the Electoral Act? *
Please select an option

General Feedback and Complaint

First name*
Please let us know your name.

Surname*
Please let us know your surname.

Would you like a response?*
Please select an option

What is your preferred method of contact?
Please select a preferred method of contact

Phone Number

Email Address
Please let us know your email address.

Postal Address

What are the details?*
Please let us know your complaint.

Have you raised this before?
Invalid Input

If yes, provide details?*
Please let us know your complaint.

Electoral Complaint

This form must be used when alleging that a person has committed an electoral offence against the Electoral Act 1985 within the meaning used in the Complaints Protocol for State Elections

First name*
Please let us know your name.

Surname*
Please let us know your surname.

Organisation / Party
Please enter an Organisation or Party

Would you like a response?*
Please select an option

What is your preferred method of contact?
Please select a preferred method of contact

Phone Number

Email Address
Please let us know your email address.

Postal Address

What section of the Electoral Act 1985 (SA) is alleged to have breached? *
Please let us know what section of the Electoral Act 1985 (SA) is alleged to have breached

What is the nature of the allegation? *
Please let us know the nature of the allegation

Details (attach other relevant material if applicable) including the circumstance in which the advertisement or material was distributed, published and or displayed where relevant.
Please let us know the details

Attach Supporting Documentation (1)*
Files must be either a jpeg, jpg or pdf

Files must be either a jpeg, jpg or pdf and under 4MB

Attach Supporting Documentation (2)
Files must be either a jpeg, jpg or pdf

Files must be either a jpeg, jpg or pdf and under 4MB

Attach Supporting Documentation (3)
Files must be either a jpeg, jpg or pdf

Files must be either a jpeg, jpg or pdf and under 4MB

Should this relate to section 113 please explain in detail why the advert (with supporting documentation) contains a statement purporting to be a statement of fact that is inaccurate or misleading to a material extent, making sure you identify the statement or statements you are referring to.
Please let us know the statements you are referring to

Other Comments

For security, please enter the four (4) numbers in the space provided*
For security, please enter the four (4) numbers in the space provided
RefreshPlease enter the correct values

 


Disclaimer
  Privacy   Accessibility   Sitemap   About us   Contact