ETHICS AND INTEGRITY COMPLAINTS INFORMATION Making a Complaint Any staff or student of La Trobe University, visitor to the University or member of the general public who wishes to make a research complaint, or report an incident involving research at the University may do so using this form. Complaints can be made to Ethics and Integrity by completing the form and submitting it by email to one of the contacts below. Complaints will be followed up or investigated by the appropriate Ethics and Integrity team member and directed to the relevant Committee or senior management personnel as required. The person who has lodged the complaint will be informed of the outcome. Privacy and Confidentiality La Trobe respects the confidentiality and privacy of the information you provide. The form requests personal information from you on this form for the purpose of investigation only. The nature of the complaint and the details provided on this form will be treated confidentially, and used only for the purpose of investigating the complaint. You will only be contacted in relation to the complaint where necessary. If you wish to remain anonymous you should ensure that as much information as possible regarding the incident is provided to enable full investigation of the complaint. If you choose not to provide all information requested it may not be possible to properly investigate the concerns you raise. If the University believes that a breach of law or criminal offence has occurred the information provided may be disclosed to the relevant state or commonwealth department, law enforcement agency, or other government agency. You have a right to access the personal information provided, subject to any exceptions in relevant laws by contacting the Manager, Ethics and Integrity on +61 3 9479 5583 or . For privacy related concerns please contact the University Privacy Officer on +61 3 9479 2060 Protected disclosure You may wish to make a protected disclosure and further information about this is available from the following site: Instructions: Please fill in this form with the details requested. The form uses check boxes and content control devices that may not be compatible with your software or device. If this is the case, please highlight the relevant options and/or type below the content control boxes. COMPLAINT DETAILS Please fill in all sections of this form. 1. Contact Details Do you agree to us contacting you in relation to the complaint? Yes No
ETHICS AND INTEGRITY COMPLAINTS INFORMATION Making a Complaint Any staff or student of La Trobe University, visitor to the University or member of the general public who wishes to make a research complaint, or report an incident involving research at the University may do so using this form. Complaints can be made to Ethics and Integrity by completing the form and submitting it by email to one of the contacts below. Complaints will be followed up or investigated by the appropriate Ethics and Integrity team member and directed to the relevant Committee or senior management personnel as required. The person who has lodged the complaint will be informed of the outcome. Privacy and Confidentiality La Trobe respects the confidentiality and privacy of the information you provide. The form requests personal information from you on this form for the purpose of investigation only. The nature of the complaint and the details provided on this form will be treated confidentially, and used only for the purpose of investigating the complaint. You will only be contacted in relation to the complaint where necessary. If you wish to remain anonymous you should ensure that as much information as possible regarding the incident is provided to enable full investigation of the complaint. If you choose not to provide all information requested it may not be possible to properly investigate the concerns you raise. If the University believes that a breach of law or criminal offence has occurred the information provided may be disclosed to the relevant state or commonwealth department, law enforcement agency, or other government agency. You have a right to access the personal information provided, subject to any exceptions in relevant laws by contacting the Manager, Ethics and Integrity on +61 3 9479 5583 or . For privacy related concerns please contact the University Privacy Officer on +61 3 9479 2060 Protected disclosure You may wish to make a protected disclosure and further information about this is available from the following site: Instructions: Please fill in this form with the details requested. The form uses check boxes and content control devices that may not be compatible with your software or device. If this is the case, please highlight the relevant options and/or type below the content control boxes. COMPLAINT DETAILS Please fill in all sections of this form. 1. Contact Details Do you agree to us contacting you in relation to the complaint? Yes No
Ethics-And-Integrity-Complaints-Form.docx