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Complaint form
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Last Modified June 26, 2019
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Please use this form to tell us about your complaint, so that we can see if we are able to help you. If you're not sure about anything - or have difficulties in filling in this form just phone us on 01253 477900 (select option 4, then option 3) and our team will complete the form with you over the phone.
Your name
First name
Last name
Your Address
Address Line 1
Address Line 2
City
County
Postcode
Country
Phone
Email
Please confirm which communication method you wish to receive complaint correspondence from us
Please select
By post
Email
We may need to contact you by phone to confirm further details of your complaint. Please confirm if you're happy for us to contact you.
Please select
Yes
No
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If you are making this complaint as an advocate on behalf of a customer then please tell us your details: (Please note that if the customer has not previously confirmed that you can act for them we will need written permission from them and this can be provided by completing the form below)
Your relationship to them
Your Name
First name
Last name
Your Address
Address Line 1
Address Line 2
City
County
Postcode
Country
Phone
Email
We will need written consent from the complainant. Please upload here.
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Details of your complaint
Please tell us the service area you wish to make a complaint about. If you feel your complaint covers more than one service area, please specify in the box marked 'other' and complete the box below
Adaptations and Equipment (Care & Repair)
Anti-Social Behaviour
Choice Based Lettings
Compliance (inc Gas & Electrical)
Homeownership / Leasehold Services
Involvement & Communications
Neighbourhoods
Performance Team
Rents
Repairs Hotline
Responsive Repairs
Young Person Resettlement
Resilience Housing
Sheltered Housing
Voids Team
Other
If you selected other, please provide more detail here
Please tell us the details of your complaint, tell us what happened and what the impact has been, including dates and names of any employees spoken to:
Your desired outcome
Please tell us what outcome you would like to resolve your complaint. This will help us to understand and investigate your issue, looking at what has gone wrong and what we need to do to put things right.
When did the issue you're complaining about first take place?
When did you first complain to the organisation about your issue?
Please upload any supporting documentation here
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Accessibility, practical needs and confirmation of complaint
Do you have any communication needs where we could help by making reasonable adjustments such as large print, Braille or a different language?
Yes
No
Do you have any other vulnerabilities/ disabilities or needs that may require a reasonable adjustment?
Yes
No
If you answered yes to either of the above please tell us how we can help you. For more information about our Reasonable Adjustments Policy, please click on the Reasonable Adjustments link on this page
I'd like this complaint to be looked into by Blackpool Coastal Housing's internal complaints procedure and will the information i have provided will form part of the investigation into this complaint. To the best of my knowledge all the information provided is accurate
I agree
I understand that Blackpool Coastal Housing will notify me within 5 working days that they have received my complaint and will aim to resolve my issue within 10 working days. We will keep you notified if any delays in getting a response to you.
I understand
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