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Public Service Ombudsman
for Wales
Complaint Form
Fills in this form to
make a complaint
complain on behalf of someone else.
Please write clearly
Please use black pen
Please send the form back to:
Public
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How to fill out service provider complaint form
How to fill out service provider complaint form
01
Obtain a copy of the service provider complaint form.
02
Provide your personal information such as name, contact details, and account number if applicable.
03
Describe the issue or complaint in detail, including dates and specifics.
04
Attach any relevant supporting documents or evidence to validate your complaint.
05
Sign and date the complaint form before submitting it to the appropriate department or organization.
Who needs service provider complaint form?
01
Anyone who has experienced unsatisfactory service from a service provider.
02
Individuals who want to formally document and address their complaints with a service provider.
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What is service provider complaint form?
The service provider complaint form is a document used to report issues or grievances about services provided by a specific provider.
Who is required to file service provider complaint form?
Anyone who has experienced issues with a service provider is required to file a service provider complaint form.
How to fill out service provider complaint form?
To fill out a service provider complaint form, you need to provide details about the issue, your contact information, and any supporting documentation.
What is the purpose of service provider complaint form?
The purpose of the service provider complaint form is to address and resolve issues or complaints regarding services provided by a specific provider.
What information must be reported on service provider complaint form?
Information such as details of the issue, contact information, and any supporting documents must be reported on the service provider complaint form.
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