Bristol City Council: Complaints - procedure: Complaints, Compliments and Comments

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Fair Comment *Mandatory Fields
Are you making a:
	Comment	Compliment	Complaint
Your details:
Title	Mrs	Mr	Miss	Ms
First name*
Surname*
Address
Postcode
Telephone no
Mobile no
Email address
Date
Have you contacted the council before with this complaint? No Yes
If yes, and you know who dealt with your complaint, please write his or her name here
If you are contacting us on behalf of another person, please also fill in the section below with your details
Title	Mrs	Mr	Miss	Ms
First name
Surname
Address
Postcode
Telephone no
Mobile no
Email address
Date
By answering the following questions you will help us make sure we give a good and fair service to everyone. We will keep this information confidential. If you would prefer not to fill in this section please tick
Are you Male Female
How old are you: under 18 18 to 24 25 to 39 40 to 64 65 and over
Do you have a disability? Yes No
Are you Lesbian/Gay/Bisexual Heterosexual
Are you White British White Irish White Other White and Black Caribbean White and Black Africa White and Asian Any other mixed background Indian Pakistani Bangladeshi Any other Asian background Caribbean African Any other Black background Chinese Other ethnic group
Details of your complaint, comment or compliment*
What would you like us to do?
The information in this form will be used by staff to progress and respond to your complaint and also help the council improve its services. If you have included an email address, we will send you a confirmation email. Thank you for completing the form.

complaints - procedure