Expression of Dissatisfaction Form

1. Your details and complaint details (so we can find your original complaint in our system)

Title e.g. Mr. Mrs. Ms. Miss. Other

First Name

Family Name

Email

IPCA Reference Number

(This can be found at the top of our outcome letter and in the subject line of any email correspondence)

2. Your expression of dissatisfaction

Please tick which reason applies, and then provide more information in the box below:

You are generally unhappy with our outcome
You want further clarification about something we wrote in our letter
You believe we misinterpreted something in your complaint
You believe we did not address one of the issues you raised in your complaint
You have new information related to your original complaint that you want us to consider
Other (please describe below)

Please note: if you are raising new issues, especially if they relate to a separate incident, we may use this as the basis for a new complaint in our system with a new and separate IPCA reference number.

Further details about why you are dissatisfied with our decision

3. Supporting information

For example, correspondence with Police, photograph or a doctor's certificate if you suffered an injury. Please contact us if you have large files.

Supporting documentation file

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We are the only NZ Police oversight body

We are not part of the NZ Police

Under law we are fully independent

If you have a complaint about the NZ Police, you can come to us

Mana Whanonga Pirihimana Motuhake

Expression of Dissatisfaction Form

1. Your details and complaint details (so we can find your original complaint in our system)

2. Your expression of dissatisfaction

3. Supporting information