Customer Relations - Complaints Form

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	Customer Relations - Complaints Form

Customer Relations - Complaints Form

In order to help us process your official complaint quickly, the following form will help us gain as much information as possible about your complaint.

If you are unable to provide some information, then please feel free to leave that part of the form blank.

Title:
Your first name
Your surname
Your address
Your postal code
Contact Phone number
E-mail address

Is there anything we can do to make it easier for you to use our service? For example, if English is not your first language or you have a disability, please tell us how we can help you.
What service/s would you like to complain about?
Please give details of your complaint here and let us know what we can do to put things right. (This text box will expand downwards as you type - there is no limit to the amount of information you can submit)
Have you already contacted anyone at the Council about your complaint?	Yes No
If you wish to send any letters or documents about your complaint, then please post to Nottingham City Council, Customer Services, FREEPOST NG6181, The Guildhall, Nottingham, NG1 4AU. Please detail in this text box any documents that you are sending:

Please state your preferred method of contact:

Other - Please give details

Equal Opportunities (Optional)

Are you male or female?	Male Female
How old are you?	Under 18 18-24 25-44 45-59 60-64 65-74 75 or over
Do you consider yourself a disabled person?	Yes No
Which would you say best describes your ethnic origin?	British Irish Other White background White & Black Caribbean White & Black African White & Asian Other mixed background Indian Pakistani Bangladeshi Other Asian background Black Caribbean Black African Other Black background Chinese Gypsy/Roma Traveller of Irish Heritage Other ethnic group
Which religion are you?	Buddhist Christian Hindu Jewish Muslim Sikh None Other
What is your sexual orientation?	Heterosexual/Straight Gay Man Lesbian/Gay Woman Bisexual Other Prefer not to say