Compliments, Comments & Complaints Form

If you want to tell us something, please either use this form or speak to a member of staff.

Fields marked with  * are mandatory and must be completed.

Please indicate the nature of your communication

Please Specify Details of Your Comment / Compliment / Complaint

*

Staffordshire County Council Contact

3. If you have already spoken to someone, please enter their name and office address if known.

Please Enter Your Contact Details

4. It would be helpful if you could provide personal details in case there are any points we need to clarify. Confidentiality will be respected.

Name

*

Address

*

Postcode

*

Telephone

E-mail

Contact Details Of Service User

5. Please enter the name, address and postcode of the service user if different from above.

Name

Address

Postcode

Telephone

E-Mail

Your relationship to the service user

Press the continue button to move to the next section of the form.