Complaint Form

If you wish to make a complaint you may contact the Office of the Ombudsman by telephone or in writing or you may proceed through the following steps to register your complaint on line:
Surname:
First Name:
Title:
Address:
Postcode:
Home Telephone:
Business Telephone:
Facsimile Number:
Your Email:
Name of Agency/Organisation Concerned: Name of the person in the Agency you have been dealing with? When did you last contact the Agency? Reference File Number (If applicable) When did the actions you complain of happen? (Day, Date): What relevant documentation do you have? What have you done to resolve the problem yourself? Nature of Complaint - Describe what happened: Assistance required Describe what you would like the Ombudsman to do for you: