Please state the way in which you believe your complaint could be resolved.
Where available please provide the following;
(a) A list date order detailing: letters, emails, phone calls and meeting that you believe are relevant to your complaint.
(b) Copies of any relevant correspondence and other documentation.
Please sign below that:
(a) I understand that the details of the complaint will be provided to the against whom I have made the complaint and may be provided to other individuals as well as the recipient of this form. Dsiclosure to other individuals will be on a strictly 'need to know' basis where it is deemed necessary by the investigator. I understand that it is usually not possible or appropriate to maintain confidentiality in all circumstances.
(b) This form contains an accurate description of my complaint.