In Penalties, fines and enforcement

Reporting a possible breach of smoking laws

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Personal information collected by the Department of Health or a Hospital and Health Service (a health agency) is handled in accordance with the Information Privacy Act 2009. The personal information provided by you will be securely stored and made available only to appropriately authorised officers of the health agency (or its agents). Personal information recorded on this form will not be disclosed to other parties without your consent, unless required by law.

How can we contact you?

Required fields are marked with an asterisk (*).

Name: *

Email: You must enter at least one of either a email or phone number.

Phone number: You must enter at least one of either a email or phone number.

Postcode:

In what capacity are you reporting this possible breach?

Capacity (other): Please specify

What is your complaint about?

Complaint subject (other): Please specify

Please describe your concerns. *

Where did this occur? * Please add specific information like a place name, address or location.

When did this occur? * Please specify a date or dates.

Last updated: 19 January 2023