Form

Please read this before lodging a Privacy Complaint…

1. This form will assist you to make a complaint about the handling of your personal information under the Privacy Act 1988 (Cth).

2. We can only consider complaints made about an individual’s personal information from the individual themselves (or an authorised representative of that individual).

3. Any information collected on this form may be used or disclosed for the purposes of the investigation process but only if it is relevant to the complaint.

4. Allegations made about a third person’s actions may be put to them.

5. If you need to ask any questions about privacy or the complaints process, contact VRC’s Privacy Officer on 03 8378 0888.

About you

First name *

Last name

Mobile number *

Email address *

Postal address *

I want to appoint a representative to act on my behalf

Name of Representative

Relationship of Representative to Complainant

About the issue

What happened? *

When did it happen (including dates)? *

Where did it happen (How did you discover the alleged use)? *

What action you would like VRC to take to resolve your complaint. *

Supporting Documentation

Are there any documents that you can give us that may help us investigate?

Choose files…

Signatures

Name *

Date

My Representative’s Name (if applicable)

Date

Privacy notice

Victoria Racing Club (VRC) is collecting your personal information (PI) to facilitate your Privacy Complaint. VRC may use and disclose your PI as set out in this statement and our Privacy Policy. If you do not provide your PI, we will not be able to provide certain products or services to you. We may disclose your PI to other parties, including our service providers and partners (that may be located overseas from time to time). Our Privacy Policy contains information about how you may access and seek correction of your PI, how to complain about a breach of your privacy, and how we will deal with that complaint.

Privacy Complaint Form Privacy Complaint Form

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