LSS Complaints Intake Form

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Legal Support Service Complaints Intake Form

Personal Details*

Surname

Forename (s)

DOB

Nationality

Do you require language support?

YES

NO

Address

Post code

City

Phone

Mobile

Complaint

Nature of the location

Date of the incident (s)

Details of Incident(s)

Complaint against

Relevant supporting documents

Witness to incident

Full name

Full Address

Witness number

Desireable Outcome

Please use this form to submit your complaint and someone will contact you shortly.

Thank you.

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