Reporting a Complaint

Name:
Address: Enter your address here (don’t forget to include Your house/flat number)
Home Telephone:
Mobile Telephone:
Email:
Details of your complaint, comment or compliment: Enter details of your complaint, comment or compliment.
What would you like us to do?: What would you like us to do?
How would you like us to contact you?:

Equal Opportunities Monitoring

In order to ensure that we are fair to people of all backgrounds, please provide the following information by ticking the relevant box:

a) White

b) Mixed

c) Asian, Asian British, Asian English, Asian Scottish or Asian Wels

d) Black, Black British, Black English, Black Scottish or Black Welsh

e) Chinese, Chinese British, Chinese English, Chinese Scottish, Chinese Welsh or other Ethnic Group

f) Are you:

g) Do you have a disability?: