House-on-the-Hill ComplyKey Control Master

Case Details

Complaint on behalf of.
Please note. This form should be used for Complaints you have dealt with verbally or otherwise. The case will be logged and managed. Enter your details and then as much information as you can about the complainant, their details, complaint and what you have done.

Member of staff:
Staff contact number:
Complaint Actions taken:
Has this resolved the complaint:

Please fill as much of the remaining form on behalf of the complainant and what you have recorded.
Contact:
Salutation:
E-Mail:
Area of Concern/Service:
Complaint:
Requested action:
Date of incident:	When did the incident happen that the complaint is about.

Has this been raised before:
When was the previous contact:
Who was spoken to about this:
Was there a reference number:

ContactAddress1:
ContactAddress2:
ContactTownCity:
ContactCountyState:
Postcode:
Phone No: