Modern Slavery Reporting Form Use this form to report suspected or actual modern slavery in Tamworth Regional Councils supply chain or operations, or within our community. The information you provide will be reviewed by Tamworth Regional Council and the appropriate action determined. Our Modern Slavery Prevention Policy and Modern Slavery Risk Management Plan and other fact sheets which are available, can help you to determine whether your concerns are within the definition of modern slavery. All concerns of risks of modern slavery within Tamworth Regional Councils supply chain must be reported here, or to a member of staff of Tamworth Regional Council. This online form enables you to remain anonymous if you wish to do so. Privacy Protection Notice This information being collected to investigate report of suspected modern slavery, acknowledge reports, and if required, to follow up or seek further information. This information is being collected for Tamworth Regional council employees. The provision of this information is done so voluntarily. Tamworth Regional Council will use this information for the purposes it was collected, and it may be necessary to use for the exercise of other functions. Other uses may include reporting suspected modern slavery to external investigating authorities, such as the Fair Work Ombudsman, Safe Work NSW, NSW Police, the Australian Federal Police and the NSW Anti-slavery Commissioner. Nature of Complaint How do you know about the incident or the victim/survivor? (select one)* - required I am reporting an incident for myself I am reporting an incident for someone else I am reporting an incident I have witnessed I am reporting a modern slavery concern or risk I have knowledge about Other I am (select one)* - required A current member of staff of Tamworth Regional Council (includes permanent, temporary, casual, apprentice, contractor or consultant) A former member of staff of Tamworth Regional Council (includes permanent, temporary, casual, apprentice, or consultant) A current agency contractor (labour hire), work experience student or volunteer engaged by Tamworth Regional Council A former agency contractor (labour hire), work experience student or volunteer engaged by Tamworth Regional Council A current supplier or employee of a supplier to Tamworth Regional Council A former supplier or employee of a former supplier to Tamworth Regional Council A member of the community Prefer not to say Provide an outline of the issue of concerns, including the circumstance of modern slavery.* - required How does the above relate to Tamworth Regional Council supply chain or operations?* - required Provide the name(s), job title(s), company name(s) of those involved in the suspected modern slavery, and the nature of their involvement.* - required Are there any urgent safety concerns?* - required Yes No Have you previously reported this issue to Tamworth Regional Council?* - required Yes No Do you wish to provide your personal details? Providing your details will assist us with any follow up actions that may be required.* - required Yes No Contact Details Name* - required Mobile* - required Email* - required Supporting Documentation Please upload any supporting documentation here Privacy Statement Personal information supplied to or collected by Tamworth Regional Council will only be stored and processed by Council for lawful purposes directly related to the functions and activities of Council. Any personal information supplied will only be disclosed to a third party for the purpose of performing a lawful function or activity and for no other purpose. Disclosure of personal information to a third party will be in accordance with Tamworth Regional Council's Privacy Management Plan (<~~DocAnnotation.type.271~~> <~~DocAnnotation.size.271~~>) Mandatory field(s) marked with *