CUSTOMER COMPLAINTS FORM If you require assistance with making a complaint, please contact or Student Services. Every effort will be made to ensure confidentiality, consistent with a full investigation of the issue. If you are submitting a complaint on behalf of someone else, please provide their name/contact details in Section 1B. We may contact the individual for permission to discuss the issue with you. SECTION 1A Complainant Details – Title: Miss / Mr / Mrs / Ms Other: Name: Contact Address: Tel Number: Email: Student ID (if applicable) Status (please tick) Student Parent or Staff Member of Employer Organisation Guardian the Public SECTION 1B Details of person on whose behalf you are submitting complaint, if different to above – Title: Miss / Mr / Mrs / Ms Other: Name: Contact Address: Tel Number: Student ID (if applicable) Status (please tick) Do you have their consent to raise this matter?: Y/N Student Parent or Staff Member of Employer Organisation Guardian the Public SECTION 2
CUSTOMER COMPLAINTS FORM If you require assistance with making a complaint, please contact or Student Services. Every effort will be made to ensure confidentiality, consistent with a full investigation of the issue. If you are submitting a complaint on behalf of someone else, please provide their name/contact details in Section 1B. We may contact the individual for permission to discuss the issue with you. SECTION 1A – Complainant Details Title: Miss / Mr / Mrs / Ms Other: Name: Contact Address: Tel Number: Email: Student ID (if applicable) Status (please tick) Student Parent or Guardian Staff Member of the Public Employer Organisation SECTION 1B – Details of person on whose behalf you are submitting complaint, if different to above Title: Miss / Mr / Mrs / Ms Other: Name: Contact Address: Tel Number: Student ID (if applicable) Status (please tick) Do you have their consent to raise this matter?: Y/N Student Parent or Guardian Staff Member of the Public Employer Organisation SECTION 2
CUSTOMER-20COMPLAINTS-20FORM.docx