Complaints form | Social Care Wales

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Complaints form

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You should complete this form if you are dissatisfied with any service provided by Social Care Wales and wish the matter to be investigated further.

Your details

Full name

Address

Address 1

Address 2

Address 3

City

Post code

Country

Telephone number

Email

Details of your complaint

Please give details of the department or person you are complaining about, where appropriate.

Name / department

What is your complaint?

Incident(s) summary:

Date and time of incident(s)

If applicable

What would a successful outcome look like to you?

Representative details

Do you wish to have a colleague/ trade union representative/ support worker accompany you through the complaints process?

Yes

No

Your representative's name

Your representative's address

Address 1

Address 2

Address 3

City

Post code

Country

Your representatives email

First published: 25 August 2022

Last updated: 25 September 2022

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