Name: (mandatory)
Address:
Telephone number:
Email:
Detail of complaint: (mandatory) (Do not insert any HTML)
How should we reply: No Reply Necessary By Email By Telephone By Post
How you can help us treat everyone fairly You can help us to make sure we give a good and fair service to all the people in the community by answering some questions about yourself. You do not have to give us the information, but we hope that you will.
Are you: --Please Select-- Male Female
How old are you? --Please Select-- Under 12 12 - 19 20 - 29 30 - 39 40 - 49 50 - 59 Over 60
What is your ethnic origin? --Please Select-- Asian British Asian Bangladeshi Asian Indian Asian Pakistani Asian Other Black African Black British Black Caribbean Black Other Mixed White and Asian Mixed White and Black Mixed Asian and Black Mixed Other Chinese Other White Irish White UK White Other
Do you have a disability? --Please Select-- Yes No
If yes, please state what:
Note The use of the Council's corporate procedure does not affect your right to refer your complaint to the Local Ombudsman at any time. Details of how to do this are available from the Help Desk at County Hall, Durham (telephone 0191 383 4567) or in libraries throughout the County.
