Directorate of Children's Services Comments, Compliments and Complaints Form

Mandatory fields are indicated by a red asterisk

Date of form completion 08 Oct 2008

Title

First Name ^*

Surname ^*

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

Telephone number Please do not include spaces in your telephone number

E-mail address

If you are making a comment/ compliment/complaint on behalf of someone else, please complete the details below:

Details of Person
Title
First Name ^*
Surname ^*
Telephone number Please do not include spaces in your telephone number


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

Does the person know you are making a comment, compliment or complaint on their behalf?

Yes

Comment/Compliment/Complaint ^*

Desired outcome (if any)

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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