Statutory disturbance complaint form

Make a formal complaint about disturbance from a licensed venue.

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About your complaint

I am making this complaint as:
The requirements for making a statutory disturbance complaint vary depending on who you are and your circumstances. 

You are making this complaint as an individual

Not an individual? If you are representing an agency, complete this form as an authorised representative or agency.

You are making this complaint as an authorised representative

If you are not an authorised representative or an agency, complete this form as an individual.

Do you have support from at least four other people who are living or working in the area?
Which agency do you represent?

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Complaints of this type must meet a high threshold and relate to the seriousness of the disturbance and any adverse impact. Complaints will be assessed case-by-case. You may wish to consider lodging a complaint as an individual with support from at least four others (first option) instead.

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Do you have the signed authorisation form?

To complete this form, each person(s) supporting your complaint must complete the authorisation form. You will need to upload a copy of their completed form in the next step.

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Complaints in the public interest must relate to the seriousness of the disturbance and the adverse impact on the community. Complaints will be assessed case-by-case. You may wish to consider lodging a complaint as an individual with support from at least four others (first option) instead.

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Complaints in the public interest must relate to the seriousness of the disturbance and the adverse impact on the community. Complaints will be assessed case-by-case. You may wish to consider lodging a complaint as an individual with support from at least four others instead.

For example, this may include details of your business or personal interests, how your interest relates to the venue you are reporting, the impact the disturbance is having on your interests and reasons why you should be entitled to make a complaint without the required four supporting persons. 

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Do you have associated community member details?

If you would like to provide details of any members of the community associated with the complaint, you will need to upload an Associated community member form for each resident / worker associated with the complaint in the next step. Please ensure you or the community member have completed each form before you begin.

File

Associated community member form (PDF 335.72KB)
Please explain how this disturbance complaint is relevant to public interest. Public interest generally refers to matters that affect the wellbeing and good order of the community as a whole.
Include specific details of how your interest relates to the venue you are reporting. For example, if your business or property is nearby and the noise impacts you and/or your customers.
Have you tried to contact the venue staff or operator about the issue?
In order for your complaint to be dealt with you must demonstrate that you have tried to resolve the issue with the venue first. This can be in person, over the phone, email or via text message. You will need to provide details of these interactions, including who you spoke to, when and what happened later in this form.  

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For your complaint to be accepted, you must have first tried to resolve the issue with the venue. If you cannot do so, you must explain why.

This will help us understand why you couldn’t meet one of the requirements for this form.
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