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Using this form

Please use this form if you are unhappy about the conduct of a member of staff at the Office of the Police and Crime Commissioner.

Fields marked with an * are mandatory.

Please do not use this form if you are a member of staff at the Office of Police and Crime Commissioner.

Accessibility

If it is difficult for you to use this form or this service – for example, if English is not your first language or you have a disability – please contact us:

Telephone: 0121 626 6060
Email: [email protected]

What happens to the information in my complaint form?

The information you provide on this form will be entered into our systems. Please note, all the contents of this form (including your equality and diversity information) will also be recorded.

If you have any concerns or require further information about how your data will be handled, please call us on 0121 626 6060.

For information about how we handle your personal information, please read our privacy notice here.

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SECTION 1 EQUALITY OF SERVICE MONITORING FORM

We want to make sure everyone has an equal chance to use and benefit from our services. To ensure we continue to do this, it would help us if you could answer the following questions. If you prefer, you do not have to answer these questions as it will not affect your complaint in any way. The information provided in this form may be used by public bodies involved in the police complaints system, including the police and IOPC. You can find out how your personal information will be used in the privacy notices found on the website of each organisation.
Sex
Is your gender different to the gender you were assigned at birth?
Sexual orientation
Do you have a physical or mental impairment that has a substantially adverse and long-term effect on your ability to carry out normal day-to-day activities?
If you have answered 'yes' to the question above, which option below describes your disability?
Ethnicity
Religious belief/faith
Pregnancy and maternity

Section 2 - About you

Name
Please provide at least two forms of contact below.
Are you making a complaint on behalf of someone else?

Section 4 – Your complaint

Please outline the details of your complaint. Please describe the circumstances that have led to your complaint. Include details of:
  • • Who was involved?
  • • What was said and done?
  • • Summary of your complaint

Section 5 – Confirmation that information provided is correct

I can confirm the information I have provided is truthful and accurate to the best of my knowledge and I have read and understood the privacy notice.

Checkboxes
Name

Section 6 – Feedback