COMPLAINT FORM

This form comprises Stage 1 of Spitalfields Housing Association’s Complaints Procedure. Please complete this form if you are not satisfied with how your initial complaint has been handled by the person or directorate responsible for the service you want to complaint about.

Data Protection Act 1998 – We will only process your personal data in order to respond to your complaint. In general it will be used for administrative and statistical purpose.

Please fill in this form using CAPITALS if there is not enough space on this form please continue yours answers on a separate sheet.

When you have filled in this form, send it to:
Spitalfields Housing Association
78 Quaker Street, London E1 6SW

Please tick the appropriate boxes.

Mr. Mrs. Miss. Other

First Name   Last Name   Your Address   Post Code   Contact Numbers:   Work: Home: E- Mail address   Date of incident:     / or The practice is ongoing Time of incident:   / or Not applicable

Please describe the practise or incident about which you wish to complain:

Name & title of person(s) involved, if known:

Please describe why you believe that this practice or incident was improper:

Have you already complained to the Directorate? Yes No

If so,

Who did you complain to?   When did you complain?

Was your complaint in writing? Yes No

Have you received a reply? Yes No

If you have any documents you wish to submit to support your complaint, please send these with this form.

Please tick the box if you would like them returned to you

I certify that the information recorded above is true to the best of my knowledge. I understand and accept that the details will normally be disclosed to the member, particularly if the matter goes through to investigation.

To be signed by the person making the complaint.

Your Signiture Date