Broadcasting Standards Authority

To: The Chief Executive

I wish to make a formal complaint about the following programme:

Programme name or title:

Date of broadcast:

Time of broadcast:

Channel (TV) or station (radio):

Broadcaster:
-- Television -- TV One - TVNZ TV2 - TVNZ TV3 - TVWorks C4 - TVWorks Prime TV Maori Television SKY TV TelstraClear InHome TV Other -- Radio -- Classic Hits (The Radio Network) Coast (The Radio Network) Flava (The Radio Network) Hauraki (The Radio Network) Kiwi (RadioWorks) More FM (RadioWorks) NewstalkZB (The Radio Network) Radio Live (RadioWorks) Radio New Zealand National (Radio NZ) Radio New Zealand Concert (Radio NZ) Radio Pacific (RadioWorks) Radio Sport (The Radio Network) Solid Gold (RadioWorks) The Breeze (RadioWorks) The Edge (RadioWorks) The Rock (RadioWorks) ZM (The Radio Network) Viva (The Radio Network) Other

1. The programme standards which I believe were breached are as follows:

2. The reasons that I found this programme breached the programme standards listed above are (use specific examples from the programme and explain your complaint fully. You may choose to copy and paste from a Word document.):

Today's date:

Your name:

Your email:

Your postal address:

Clicking the button below will submit your complaint to the selected broadcaster.