Complaint or Enquiry For Private Rented Accommodation

Date of form submission:

04 Dec 2008

Your Details

First Name ^*
Surname ^*
Telephone number (daytime) ^*Please do not insert spaces into your phone number
Mobile phone number Please do not insert spaces into your mobile phone number
Email Address
If you would like to receive a copy of this form, please enter a valid email address, and a form will be sent to you when you've submitted the form.

Address line 1 ^*
Address line 2
Address line 3
Postcode ^*

Is the property you wish to complain or enquire about different from the above? ^*

Yes

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	:	Private Sector Housing
Last Updated	:	08 February 2005



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