Consultation submission form – Reporting of firearm injuries to Police by Health Professionals
SUBMISSION FORM FOR CONSULTATION ON REPORTING OF FIREARM INJURIES TO NEW ZEALAND POLICE BY HEALTH PROFESSIONALS The closing date for submissions is 6 May 2022. We recommend that this Submission Form is completed after you have read the Discussion Paper Initial Options on Reporting of Firearm Injuries in full. You can submit this form by emailing it to consultation@police.govt.nz or posting your submission to Firearms Policy and Partnerships Team, Level 13, Police National Headquarters, 180 Molesworth Street, Thorndon, Wellington Privacy Your feedback may be made available by Police and the Ministry of Health to members of the public who request copies of submissions. Please indicate clearly in the space below if your identity or comments are provided in confidence, or if there is some other reason they should not be disclosed. Any request for non-disclosure will be considered in terms of the Official Information Act 1982. Your feedback may be edited for publication to anonymise it or remove sensitive information. This submission was completed by: Name
Address
Are you submitting this: ☐ As an individual?
☐ On behalf of a group or organisation? (please specify) ☐ Other? (please specify)
Would you like this information to be provided in-confidence? If yes, what information would you like to be withheld?