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Complaint Form

In relation to:- Hackney Carriage/Private Hire Vehicle Proprietors/Drivers/Operators

Please give as much information as possible to identify the person complained against and the vehicle they were driving. Please note: your details may be disclosed to the person about who you complain should further action be necessary.

Title

Mrs

Miss

Other, please specify

Surname

First name

Address Line 1

Address Line 2

Address Line 3

Postcode

Daytime Telephone Number

Email Address

DATA PROTECTION NOTICE
North East Lincolnshire Council is a Data Controller for the purposes of the Data Protection Act 1998. Any personal information supplied on this form will be processed in accordance with the principles of the Act. If you want to find out more about your rights under the Act, you can contact the Office of the Information Commissioner (tel: 01625 545 700 / http://www.dataprotection.gov.uk) or the Director of Law and Democratic Services on 01472 313131.

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Created by	:	Environmental Services - Community & Support
Last Updated	:	10 February 2006



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