Complaint form

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Complaint form

Use this form to complain to the Welsh Language Board about failure on behalf of an organisation to provide a service in Welsh. Remember to enclose a copy of the complaint you sent to the organisation, as well as a copy of the organisation’s response and any other related letters or documents.

Here is a complaint about an organisation’s failure to provide me with a service in Welsh.

* indicates a required field

*Title(s):

*First Name:

*Surname:

*Address line 1:

*Address line 2:

Address line 3:

*Town:

*County:

*Post Code:

Email:

Telephone:

How would you like to be contacted?:

*Name of Organisation:

*Address line 1 (Organisation):

*Address line 2 (Organisation):

Address line 3 (Organisation):

*Town (Organisation):

Post Code (Organisation):

Telephone (Organisation):

Email (Organisation):

Details of the department you wish to complain about (if known):

*Date it was sent to the organisation:

Date of response received from the organisation (note 'no response' if you did not receive a response):

*The service you wish to complain about (note here a short description of the Welsh language service that you sought from the organisation):

*The lack of service (note here a short description of the organisation's failure to offer a Welsh language service to you):

*When did this happen?:

*How did this affect you?:

*Describe why you are not satisfied with the organisation's response to your complaint: