Complaints Referral Form

Scroll down to fill out our complaints form.

NICCY Dudes Referral Form 1

Complaints Referral Form

Completing the Referral Form – useful information

  • When you are filling out the form below please provide as much detail as possible as this will allow us to assess your referral as quickly as possible.
  • In the form the fields with an * (asterisk) are compulsory, this means you need to complete them before you can submit the form to us.
  • We understand that you may have questions before you wish to submit a complaint. We have provided answers to the most Frequently Asked Questions here. We provide a free, independent, and impartial service.
  • The term relevant authorities covers many bodies such as schools, health care providers and anyone else providing a function of government. If you are unsure if your complaint is about a relevant authority, please feel free to contact us.
  • We will be unable to help you if you are already being helped by another organisation.
  • In submitting this referral you are consenting to the processing of this information in relation to privacy notice and data protection policy, information, disposal and retention policy.

Tell us who you are

Personal Details

Hidden
Can we leave a message?

Complaint

Consent for Summary Publication(Required)
We publish anonymised summarises of our casework outcomes. Do you provide your consent to publish an anonymised summary of your complaint?
This field is for validation purposes and should be left unchanged.

Personal Details

Hidden
Date of Birth
Can we leave a message?

Complaint

Consent for Summary Publication(Required)
We publish anonymised summarises of our casework outcomes. Do you provide your consent to publish an anonymised summary of your complaint?
This field is for validation purposes and should be left unchanged.