Local Resolution Request Form
If you work or have worked in a Commonwealth parliamentary workplace (CPW) and have experienced inappropriate behaviour in this workplace you may wish to contact the Parliamentary Workplace Support Service (PWSS) to discuss the range of options available to you to resolve a complaint, which includes our local resolution services.
Top of Form
The PWSS takes all workplace complaints seriously. The PWSS can assist with local resolution to resolve the matter in accordance with our Local Resolution Policy, but cannot investigate, make a finding of fact, or arbitrate any matter.
If you are seeking a workplace investigation into a matter, it is recommended that you submit your complaint directly to the Independent Parliamentary Standards Commission- external site via email at enquiry@ipsc.gov.au. Our staff can support you to do this or discuss how a referral can be made on your behalf.
Can I submit the form anonymously?
You can remain anonymous; however, this may limit any follow up action.
What information do I need to provide?
When completing this form, you will be asked to provide the following information:
- the date/s and time/s of the behaviour;
- a detailed description of the behaviour;
- who engaged in the behaviour;
- any supporting documentary evidence (such as emails, text messages, file notes, images etc.)
- the outcome you are seeking; and
- any steps taken to resolve or address the matter.
The PWSS can assist you to complete the form, however you will be asked to review and confirm the contents of the form are accurate.
Something has happened but I do not want any action taken. What can I do?
If you want to report an incident so it is on record but do not want any further action taken, you can still complete and submit this form but note your desired action in the relevant outcome section – for example, ‘I want to have this matter on record but I don’t want any further action taken by the PWSS at this time.’
If you are primarily seeking support in response to an incident and do not want to report it, the PWSS Counselling and Support team are best placed to assist and can be contacted by emailing support@pwss.gov.au or calling 1800 747 977.
What will PWSS do with the information I submit on this form?
This form will ask you to provide personal information to the PWSS. Your personal information is protected by the Privacy Act 1988.
The PWSS collects and uses your personal information to facilitate the local resolution process, assess and manage reports (or complaints) about incidents and misconduct including workplace conflict, as well as providing support and education to Commonwealth parliamentary workplace participants, and related purposes.
The PWSS may disclose your personal information to other Australian Government agencies, persons or organisations where necessary for the above purposes, provided the disclosure is consistent with relevant laws, in particular the Privacy Act 1988.. Your personal information is unlikely to be disclosed to overseas recipients.
If you choose not to provide some or all of your personal information, we may not be able to respond to your complaint or contact you to provide support.
For more information about how the PWSS will handle your personal information, how to access or correct personal information or make a complaint, see our Privacy Policy.
Declaration and consent
By submitting this form to the Parliamentary Workplace Support (PWSS), I declare that:
I consent to the PWSS collecting, using, and disclosing my personal information for the purposes of:
- Providing support to me.
- Receiving and managing my report (or complaint).
- Assessing my eligibility for local resolution through the PWSS.
- Providing referrals.
- Related purposes.
I understand that, if I do not consent to the above, this may limit the PWSS’ ability to help me seek resolution through the PWSS or to contact me about my matter.
I confirm that, to the best of my knowledge, all of the information I have provided in this application is true, complete, correct and not misleading by inclusion or omission.
I understand that giving false or misleading information is a serious offence under the Criminal Code Act 1995.
Privacy Collection Notice
Privacy Collection Notice (required)
By checking the box I acknowledge I have read the Privacy Collection Notice, I consent to PWSS collecting and processing the information I submit as explained in the Notice and Privacy Policy and agree to proceed.
If you have any concerns about the Privacy Collection Notice or Privacy Policy, please contact the PWSS for advice on 1800 747 977.
