Please fill in the details as appropriate, the details entered will be kept completely confidential.

Only fields highlighted like this are mandatory and if no entry is made in any of the mandatory fields they will be highlighted after the Submit button has been clicked.

Your Name/Company Details
Title:

(Individual Only)

Forename/Initial:

(Individual Only)

Surname/Company Name:

Phone:

Fax:

E-Mail:

Please enter your name and address here to enable us to keep you up-to-date on the progress of your complaint. You do not have to specify your address if you prefer not to.

Your Address Details
House name/number

Street

Area

Town or City

Post Code

If you know the exact address of the property you are complaining about then please fill in the address details here. If you do not know the address or the complaint is about an area that does not have an obvious address then please describe the location in the 'description' field.

Complaint Location
House name/number

Street

Area

Town or City

Post Code


Location Description:

Offender Details
Title:

(Individual Only)

Forename/Initial:

(Individual Only)

Surname/Company Name:

Status of Offender:

Offender Address Details
House name/number

Street

Area

Town or City

Post Code

Enter a description of what you are complaining about. If have any files on your PC that you wish to send to us to further explain your complaint (e.g. photographs) then please use the attachment function by clicking on the button. If the application is complete click "Finish" to continue.

Complaint Detail
Class of Offense:

Attachments

 

Description:

HTS Name: wehnewenf01-default-nongaz.hts
Logical ID: WEENF