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Online Feedback Form

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Types of comments you wish to make

Do you give permission for the Taxi Services Commission to release you details or complaint to Gennix?

Your contact details

Would you like to remain anonymous?

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Industry Information

Service you are commenting on

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Industry Information (optional)

Your comments

Are you prepared to attend court if required?*

If required, are you prepared to sign a formal statement?*

Do you consent to CPVV releasing your personal information and details of your complaint (including this form) to the booking service provider and other applicable third parties (excluding the owner and driver of the vehicle)?*

Commercial Passenger Vehicles Victoria (CPVV) may need to release your personal information and details of your complaint to third parties in order to conduct a proper investigation. For more information about the circumstances in which this information will be released, please ensure you read the ‘Information Collection Notice’ on the back of this form before completing this section
If you booked the service through a booking service provider, we may refer the complaint to them at first instance if we consider they are in a better position to investigate and resolve it.

Do you consent to CPVV releasing your personal information as required and details of your complaint to the owner of the vehicle (even if they are also the driver)?*

If you did not book the services through a booking service provider, the owner of the vehicle may need to be provided your personal information and details of your complaint, even if they were also the driver and directly involved in the incident prompting your complaint.

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Are you a member of the Multi Purpose Taxi Program?*

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Where did the incident occur?

For taxis only, was a booking made?

Do you have a receipt?

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Message

Please provide your message and comments in the space below.

Attach documents to support your concerns, if available

Make the selection of the files the last step you perform just before pressing the ‘Submit’ button as the selection you make can be lost as you are filling in the form.

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