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Section A

Your Details

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

The person who submitted the complaint about a public body, or who experienced the problem with our services 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 requesting a review and/or making a comment/complaint on behalf of someone else, please provide their details.




Section C

Please contact us if you need any help completing this form


Section D

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

Remember: we will not be able to look at your review request if you simply disagree with our decision.

If you have documents to support your request, please submit them with this form


Section E

Your comment or complaint about the service provided by the Ombudsman

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


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