Complaint Form - Code of Conduct

You may complain to the Ombudsman by completing and submitting this on-line complaint form. However, please ensure that you have read the section on 'How to complain that a Local Authority Member has Broken the Code of Conduct' before you do so - this will help you to decide whether the Ombudsman is able to look into your complaint or not.

Please note that fields marked * are mandatory.

A - Your details

Your name in full:*

Address and postcode:*

Your email:*

Daytime contact number:

Mobile number:

B - Who are you complaining about

Name of the member (or members) you consider has (have) broken the Code of Conduct:*

Name of their authority:*

C - How do you think they have broken the Code of Conduct

Please tell us what evidence you have for claiming that the member has broken the Code of Conduct (you can get copies of the Code from the authority). Give as much detail as possible*

D - When did the incident take place? *

E - Are there any witnesses who can confirm what you say? If so, give their full names, addresses and telephone numbers.

F - Supporting Documents

Do you have any documents to support your complaint? Please tick appropriate box below:

Yes No

Please use the file selector below to attach a document. If uploading several documents, you must choose one at a time. Files chosen will appear in the section below.
Upload document(s)
Files:

I understand and accept that my identity and the details of my complaint will be passed on to the member who I am making a complaint against and that they may become public knowledge. I confirm that I am prepared to give spoken evidence in public in support of my complaint to the authority's Standards Committee, or any case tribunal which may be appointed to consider any report which the Ombudsman may issue if he decides to investigate my complaint.

Please check box to confirm details of this complaint form and to agree to the above statement.*