Complaint Form

To be filled out by complainant or his/her delegate.

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Part A - About you (the complainant)
Enter your name
Your Address
Contact Numbers
This box is to be filled out if
the complainant is being assisted/ represented by someone else, for example an Attorney-at-Law, a Corporate Officer or Board Member, a Trade Union representative, a Parent, Spouse or Child.
Contact Numbers
**If you need help to fill out this form please contact one of our Officers at 672-0928**
This box seeks data about
the complainant (if the complainant is an individual) that will be used for internal statistical purposes only. Please tick/ highlight as appropriate