WorkCover WA Customer First Feedback
Customer First Feedback Form How have we served you? Please use this form to provide feedback or a complaint about any issue relating to your dealings with WorkCover WA. Type Of Feedback:   Please select a Feedback Type . . . Complaint Compliment Suggestion *    (* = mandatory field) Feedback Received From: Title: Please select a Title . . . Mr Mrs Miss Ms Dr * First Name: * Surname: * Address: Suburb: Postcode: Phone/Mobile: * Email Contact: The Issue Please describe your issue (date, details, person/people involved): *  Characters remaining:  How would you like WorkCover WA to respond to this issue?  Characters remaining:  If you have raised this issue with us in the past, please give details of the date, person with whom you spoke and any response given:  Characters remaining:  Thank you for bringing this issue to our attention. We take all feedback seriously and if any further action is required we will contact you within five working days. If you wish to contact us about this matter please call on 08 9388 5555 and ask to speak with the Customer First Feedback Officer. You will be able to PRINT a copy of this information after you have pressed the SUBMIT button.