Complaint Form

OFFICIAL-SENSITIVE PERSONAL ONCE COMPLETE

Estimated time to complete: 6 mins

How we use the information in this form

Your name and email address will be used only to contact you if your complaint requires a response. Your information will be held in accordance with our privacy policy and will not be shared with third parties without first obtaining your consent.

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Your Complaint

What would you like to complain about?

If you think you have suffered harm or loss, please give details Optional

Have you written or spoken to anyone at Conviction about this matter?

Do you feel that Conviction has discriminated against you on the grounds of

Not Applicable

Age

Ethnicity

Gender

Other

Your Details

I am...

a client or service user

a member of the public

a representative of an organisation

a legal advisor or representative

from a central government department, agency or NDPB

a member or officer of Parliament

a researcher

a journalist or representative of the media

a supplier or service provider

from outside the UK

Other

(choose the option which best describes you)

Name

First Last

Enter Email Confirm Email

Phone

Address

Street Address Address Line 2 City County Postal Code Country

Registered in England & Wales as a Community Interest Company. | 1 Coldbath Square, Clerkenwell, London, EC1R 5HL. | Registered Number 11727073 | Registered ICO Number ZA481204

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