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Cymraeg
Cyngor Gwynedd
Complaint / Praise Form
Please use this form to praise, raise a concern or to complain about the Council.
Your details
Title
-- select --
Mr
Mrs
Miss
Ms
Other
Name
*
E-mail address
*
Confirm e-mail address
*
Phone number
Address
*
I am making a complaint on behalf of someone else
Making a complaint on behalf of someone else - their details
Their name in full
Address and postcode
What is your relationship to them?
Why are you making a complaint on their behalf?
About your concern/complaint/praise
Name of the service or officer
What in your opinion was done well/wasn’t done well?
Describe how this has personally affected you
If you have a concern or a complaint, what do you think should be done to put things right?
When did you first become aware of the situation? (If you are making a complaint and there is more than 6 months since, note why haven’t you reported it before)
Have you already explained the situation to the frontline staff responsible for delivering the service? If so please give brief details of how and when you did so.
The information provided on this form is correct as far as I know
*
Attach Documents / Pictures (Optional)
Botwm Atodi
Label Disgrifiad
Submit
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Cyngor Gwynedd