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Complaints Form

ALPMA takes seriously any complaint that is lodged. The matter will be investigated by the Complaints Officer. You will receive feedback on your complaint if you elect to do so. Confidential information may not be shared with you.

"*" indicates required fields

Complaint Decription*

Please tell us what happened.

Type*

Which best describes you?

Supporting Files

You may upload files to support your complaint.

Drop files here or

Accepted file types: pdf, Max. file size: 1 GB.

Anonymity*

Do you wish to remain anonymous?
Please note that if you would like to be contacted in relation to your complaint you will need to complete some details; however, you have the right to use an assumed name if you are concerned about being personally identified.

Yes

Contact Preference*

Would you like to be contacted in relation to your complaint? If yes, please complete contact details below accordingly.

Yes

Personal Details - Optional

Name

Email Address

Phone Number

Preferred Method of Contact

Best Time to Call You

In your time zone.

Company

Position

Phone

This field is for validation purposes and should be left unchanged.

Complaints Form

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Personal Details - Optional

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