Anonymous Report form

Note: Only use this form to contact the Department of Human Services in South Australia. This form is completely anonymous. We can only contact you about the outcomes or results of your report if you choose to include your contact details. You do not have to use your real name. We have used special measures to make sure your privacy is protected. This form does not use any cookies, IP address details or any other metadata that could be used to identify you.

Are you:
Date and time it occurred: *
Date and/or Time approximate only Check this if the stated Date and Time are approximate only.
(in your opinion)
(Provide as much detail as you can)
How do you know about the matter:
I was told about it by: (Choose all that apply)
(If you have photo/voice evidence you can attach it to this form here)
Confirmation *
Do you want to include your contact details?
You do not have to tell us your name. If you do, you do not have to use your real name.
You do not have to tell us your phone number.
You do not have to tell us your email address.

Page last updated 5 February 2024