New Zealand Lodge A Complaint of Unsafe Work

Name *

First

Last

Address *

Contact Number *

Email *

Email

Confirm Email

Has refrigerant been lost from the system? *

All Refrigerant Released.
Some Refrigerant Released.
No Refrigerant Released.

What was the type of refrigerant and amount ?

Please select all that apply *

Refrigeration and Air Conditioning work
Electrical work
Plumbing work
Other

Please provide as much detail as possible of the person/contractor you are reporting, ie: Name, Business, Address; Contact Details; Licence Number *

Please provide the location of the incident you are reporting if applicable.

Please describe the nature of your complaint ie: "What Occurred" - Unlicenced Work, Unsafe Work, Release of refrigerant into the environment *

Have you previously lodged this/these complaints to the licencing regulator in your state and/or ARCtick? *

Yes
No

How many times have you lodged the above complaint/s?

Please provide any reference details for previously lodged complaints and if the complaint/s lodged were to either or both State and Commonwealth regulators.

The Compliance Team may need to contact you to discuss your complaint further. *

Yes I can be contacted
No I cannot be contacted

Number of files to upload

Upload your 1st file

Upload your 2nd file

Upload your 3rd file

Upload your 4th file