Complaints Form

Title: *

Please Select

First name: *

Surname: *

Address line 1: *

Address line 2:

Town/City: *

Postcode: *

Phone: *

Email: *

Are you currently a BCHA tenant? *

Yes

No

If no, please can you let us know how you have had contact with BCHA: *

Please let us know who / what your complaint relates to *

Please Select

Please enter the staff's name: *

Please share with us the details of your experience: *

When (approximately) did the situation take place? *

Where did it take place? *

How has the situation affected you? *

Have you complained about this before, if yes, when was this? *

What do you want to happen now? (We will take this into account but cannot guarantee that we can do everything that you ask for) *

How would you like us to keep in touch about this complaint? (Please provide a telephone number, email address or home address for us to write to) *

Please ensure this form is fully completed and signed, as we may be unable to proceed without the information. Once received, we will contact you to arrange enrolment. *

By signing this document, I agree with BCHA’s Privacy Notice and give consent for BCHA to share any of the above information with third parties if a risk is disclosed and that we may give details to the referrer regarding your attendance at the course/s referred for. If a referral partner has completed this form, then consent must be agreed prior to the form being shared with BCHA Learn. *

Complaints Form

Our Partners