Fillable Independent Qualified Person Complaints Form (Timaru District Council New Zealand)

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Independent Qualified Person Complaints Form (Timaru District Council New Zealand)

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The Independent Qualified Person Complaints Form (Timaru District Council New Zealand) form is 7 pages long and contains:

  • 1 signature
  • 14 check-boxes
  • 58 other fields

Country of origin: NEW-ZEALAND
File type: PDF

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P:\COMPLAINT FORM (IQP).doc
COMPLAINT FORM
INDEPENDENT QUALIFIED PERSONS (IQP)
You must use this form to complain to the South Island IQP registration panel about
the conduct of an IQP. Your complaint must relate to a person who is a current IQP.
Send to:
South Island IQP
C/- Timaru District Council
PO Box 522
TIMARU 7940
Email to: iqpenquiry@timdc.govt.nz
Fax to: 03 687 7200
Or personally handed in at:
Timaru District Council
2 King George Place
TIMARU 7910
PART 1: YOUR DETAILS
Title: Mr Mrs Miss Ms
Surname:
First Names:
Company name (if applicable):
Street Address:
Suburb:
Town/City:
Post Code:
Postal Address (if different from above):
Suburb:
Town/City:
Post Code
Daytime phone number: ( )
Mobile phone number:
Email address:
PART 2: WHEN AND WHERE THE WORK COMPLAINED ABOUT WAS
DONE
IF APPLICABLE)
Specific date(s) work undertaken:
Street address:
Suburb:
Town/City
Are you the owner of this property? Yes No
Name of owner (if not yourself):
Owner’s mobile number:
Owner’s email address:
PART 3: DETAILS OF THE IQP YOU ARE COMPLAINING ABOUT
Title: Mr Mrs Miss Ms
Surname:
First Names:
Company name (if applicable):
Street Address:
Suburb:
Town/City:
Post Code:
Postal Address (if different from above):
Suburb:
Town/City:
Post Code
Daytime phone number: ( )
Mobile phone number:
Email address:
IQP number (if known):
PART 4: WHAT THE COMPLAINT IS ABOUT
Please provide as much detail as possible (including dates) about the conduct you
are complaining about.
NOTE: Please attach further details on a separate piece of paper if there is
insufficient room above.
PART 5: EVIDENCE IN SUPPORT OF THE COMPLAINT
Please detail any evidence you are able to provide to support your complaint:
NOTE: Please attach copies of any evidential documents and/or photographs
to support your complaint.
PART 6: STEPS TAKEN TO RESOLVE THE COMPLAINT
Please detail what steps you have already taken to resolve the complaint:
NOTE: Attach copies of any evidential documents and/or photographs to
support your complaint.
PART 7: OUTCOME
Please indicate your preferred outcome:
PART 8. WITNESS(ES), IF ANY
Witness 1
Title: Mr Mrs Miss Ms
Surname:
First Names:
Company name (if applicable):
Role in project:
Street Address:
Suburb:
Town/City:
Post Code:
Postal Address (if different from above):
Suburb:
Town/City:
Post Code
Daytime phone number: ( )
Mobile phone number:
Email address:
Outline the points of note the witness observed in relation to your complaint:
NOTE: A witness is anyone (other than yourself) who observed the inspection
being carried out, and/or the finished inspection and/or was a party to any
discussions relating to the alleged non-compliance.
Please provide details of further witnesses on a separate piece of paper if you
have more than one witness.
PART 9: ATTACHMENTS
How many photos are attached to this form?
How many extra sheets of paper are attached to this form?
Have you attached anything else to this form – if so what?
PART 10: DECLARATION
I agree to all documentation relating to this complaint being released to all parties
involved, and declare that the information I have supplied in this form is true and
correct. I understand that it is an offence under the Building Act 2004 to provide false
or misleading information.
Signature:
Date:
PLEASE NOTE
Complaints may lead to IQP being withdrawn from the IQP register but
the SIIQPR (South Island Independent Qualified Persons Register) can
not award compensation or reparation.
Your complaint must be in writing and provide enough information to
enable the complaint to be investigated. Anonymous complaints cannot
be investigated.
All the documentation relating to this complaint will be released to all
parties involved in the complaint and the respondent will be invited to
provide evidence to support their position.
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Independent Qualified Person Complaints Form (Timaru District Council New Zealand)

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Completed 11 February 2021

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