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Section A

Your Details

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

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

 

Section B

If you are making a complaint/comment or requesting a review on behalf of someone else, please provide their details.

 

 

Section C

Is this a comment, complaint or request for a review of a decision made by the Ombudsman?

Please contact us if you need any help completing this form

 

Section D

Your complaint or comment about the service provided by the Ombudsman

 

 

Section E

Your request for a review of a decision taken by the Ombudsman

 

 

Section F

Please list any documents attached or provide any additional information

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

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