Comment, compliment or complaint form
  1. Are you contacting us about a (*)
    Please tell us if you are contacting us about a comment, compliment or complaint.
  2. Your Title:(*)
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  3. Your name(*)
    Please let us know your name.
  4. Your address(*)
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  5. Your postcode(*)
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  6. Daytime telephone number(*)
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  7. Evening/alternative phone number
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  8. Your email(*)
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  9. Department of service
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  10. Your Message
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  11. What do you think we could do to put things right?
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  12. Have you complained to anyone about this before? If so, to whom and when? (eg. your Councillor / Council Officer):
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  13. You do not have to fill in the sections below but it may help us to make improvements. Please put a tick next to the answer you wish to provide:
  14. Please enter the characters in the box provided(*)
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  15. Data Protection: This form is not secure. Please don't include any confidential or sensitive information on it. We will treat any other personal information you provide in confidence and under the Data Protection Act 1998. We will hold it and only use it for a legal reason or for the purpose it is given. We will only share information when we have your consent or we need to ask another department or partner to respond to a specific comment or request you have made.

Erewash Borough Council

Erewash Borough Council, Town Hall, Wharncliffe Road, Ilkeston, Derbyshire, DE7 5RP
0115 907 2244
   
DC Employer