Complaints Form Please read the 'What is a complaint?' Section Make a complaint Note: Questions marked by * are mandatory *This is a mandatory field. Full Name *This is a mandatory field. Address *This is a mandatory field. Telephone Email *This is a mandatory field. Do you have any communication or language needs? Are there any additional adjustments which might assist you in this process in terms of communication or language? *This is a mandatory field. Preferred method of contact: Telephone or email *This is a mandatory field. Does your complaint relate to a previous or ongoing complaint? If yes, what is the complaint reference number (if known)? What is the service/department the complaint relates to: Care, Housing, Assets/Property, Other (please describe) *This is a mandatory field. Details of your complaint What action and/or outcome would you like to see from your complaint?