Authority to Act form

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If you would like someone else to lodge a complaint with the Tasmanian Audit Office on your behalf, you will need to give your consent by filling out this form and providing a piece of photo ID.

If you have any questions about how to complete this form you can email admin@audit.tas.gov.au or call (03) 6173 0900.
Authorisation

Signature
Full name of complainant*
Full name of representative*
Signed*
Date*
DD slash MM slash YYYY
Complainant
Date of brith*
DD slash MM slash YYYY
Address*
Email*
Phone*
Authorised representative
Date of brith*
DD slash MM slash YYYY
Address*
Email*
Phone*
Confirm identification

The complainant must attach a current photo ID with signature to confirm their identity.
Photo ID*
Max. file size: 64 MB.
hCaptcha*