Corporate Feedback Form
If you would like to give us feedback about a service provided by Richmondshire District Council, please complete this form.
If you would like any help completing this form, please contact the Head of Customer Services on 01748 828711
Please complete all the sections in this form
Today's Date
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Month
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Year
Title
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Mr
Mrs
Miss
Ms
Dr
Sir
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Your name
*
Your Address
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Town
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Postcode
Email Address
Telephone number
If you are completing this form on behalf of someone else, please provide their name and address
Title
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Mr
Mrs
Miss
Ms
Dr
Sir
Rev
Name:
Address:
Town
Postcode
Email Address
Preferred method of contact
Telephone (day)
Telephone (eve)
Mobile
Email
Any
What kind of feedback would you like to give?
Please select the relevant option and give as much detail as possible in the box below.
Please Select ...
Compliment
Comment
Concern
Complaint - informal
Complaint - formal
How were you affected by this?
What do you think we should do to put things right?
Data Protection Act 1998 The information you supply will be held in an electronic format and will be passed to the relevant Head of Service in order to resolve your issue. Data may be passed to your Ward Councillor as the elected representative for your area.
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