Comment, Compliment or Complaint Form

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Comment, Compliment or Complaint Form

Step 1

Before you start to fill in this form, please read "Are we listening to you? How to Make a Comment, Compliment or Complaint" to help you decide whether you have a complaint or an enquiry.

If you have an enquiry or request, please use the general enquiry form

Step 2

If you would prefer to write, or if you have supporting documents to send, please print off and send this pdf version of the complaint form. Otherwise, please complete the boxes below.

page ref: SDDC 1f

Comment, Compliment or Complaint Form

Fields marked with '*' are required fields.

Comment, Compliment or Complaint:	*
Your title	*
Your name	*
Your address	*
Your Daytime telephone number	*
Your evening telephone number
Your email address	*
Department or service	*
Details of comment or complaint (please state what you think we did wrong or failed to do)	*
In the case of a complaint, what do you think we could do to put things right?	*
Have you complained to anyone about this before? If so, to whom and when? (eg. your Councillor / Council Officer)

Data Protection: This form is not secure. Please don't include any confidential or sensitive information on it. We will treat any other personal information you provide in confidence and under the Data Protection Act 1998. We will hold it and only use it for a legal reason or for the purpose it is given. We will only share information when we have your consent or we need to ask another department or partner to respond to a specific comment or request you have made.

We will keep a record of the sender's Internet Protocol address (which is unique to the sender's computer), the date we received the form, and the content for back-up and archive purposes. We will also use this record to identify senders of any malicious content under the Protection from Harassment Act 1997. We will keep this record for a maximum of three months.

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