Concerns or Complaints

How to express concern or complain formally

You can express your concern in any of the following ways:

Complete the online form below.
Ask for a copy of the form from the person with whom you are already in contact. Tell them that you want us to deal with your concern formally.
Get in touch with our Business Support Manager on 01495 369691 if you want to make your complaint over the phone.
Email us at complaints@aneurinleisure.org.uk
Write to us at Business Support Manager, Aneurin Leisure Trust, Brynmawr Learning Action Centre, Market Square, Brynmawr, Gwent, NP23 4AJ

We aim to have concern and complaint forms available at our facilities. Copies of this policy and the complaint form can be made available in Welsh upon request.

Full details of our Concerns and Complaints Policy can be found here

Please note: The person who experienced the problem should normally fill in this form. If you are filling this in on behalf of someone else, please fill in section B.

A: YOUR DETAILS

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Daytime Phone Number

(###)

###

####

Please state how you would prefer us to contact you:

Your requirements: If our usual way of dealing with complaints makes it difficult for you to use our service, for example if English or Welsh is not your first language or you need to engage with us in a particular way, please tell us so that we can discuss how we might help you.

B: MAKING A COMPLAINT ON BEHALF OF SOMEONE ELSE. THEIR DETAILS:

Please note: We have to be satisfied that you have the authority to act on behalf of the person who has experienced the problem.

Their Full Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What is your relationship to them?

Why are you making a complaint on their behalf?

C: ABOUT YOUR CONCERN/COMPLAINT

C.1 Name of the Department/Section/Service you are complaining about:

C.2 What do you think they did wrong, or failed to do?

C.3 Describe how you personally have suffered or have been affected.

C.4 What do you think should be done to put things right?

C.5 When did you first become aware of the problem?

C.6 Have you already put your concerns to the frontline staff responsible for delivering the service? If so, please give brief details of how and when you did so.

C.7 If it is more than 9 months since you first become aware of the problem, please say why you have not complained before now: