Comment or complain about the standard of service you have received from us

Section A - Your Details
The person who submitted the complaint about a public body, or who experienced the problem with our service, should normally fill in this form. If you are filling this form in on behalf of someone else, please also complete Section B.

Name

First Last

Address

Street Address Address Line 2 City County Postcode

Email

Enter Email Confirm Email

If you provide an email address we will normally use this for correspondence.

Daytime contact number

Mobile number

Ombudsman’s case reference number(s) if known

Section B
If you are making a comment/complaint on behalf of someone else, please provide their details.

Their name in full

First Last

Their address

Street Address Address Line 2 City County Postcode

What is your relationship to them?

Why are you acting on their behalf?

Section C
Your comment or complaint about the service provided by the Ombudsman

What is your comment or complaint about the Ombudsman’s service?

How did this affect you?

When did this happen?

Have you raised this informally?

Who did you deal with?

How can we put things right or improve our service?

If you have documents to support your comment or complaint, please submit them with this form, on the next page.

Section D
Please list any documents attached or provide any additional information

File

Max. file size: 40 MB.

File

Max. file size: 40 MB.

File

Max. file size: 40 MB.

File

Max. file size: 40 MB.

File

Max. file size: 40 MB.

Provide any additional information here

If you need to attach more than 5 documents, please email them to feedback@ombudsman.wales

We will acknowledge your form within 5 working days of receipt.

Information:

Complaints About:

Other Organisations:

About us:

Requesting:

Other:

Publications:

Case Findings:

Plans and Reports:

Other Documents:

Comment or complain about the standard of service you have received from us