Purbeck online complaints form

Fill out your details with as much or as little detail as you like.

Use the submit button when you are ready to send.

If you are uncertain as to which department your complaint needs to go to, please see the 'How we work at Purbeck District Council' (opens in a new window) pages for a detailed breakdown of how each department operates within the council.

Title	Please select: Mr Mrs Miss Ms Dr Prof
First name
Last name
Address
Postcode
Home phone
Work phone
Email
Which service area does your complaint relate to? *	Please select: Central services Council Tax and Benefits Corporate services Public Health and Housing Services Financial services Planning and Community Services Purbeck Sports Centre
What do you think the council did wrong or failed to do? *
What should the council do now?
Have you already complained to the council?	Yes   No
When?	Select month: January February March April May June July August September October November December
Drop Down	Select year: 2004 2005 2006 2007 2008 2009 2010
How?	Please select: Phone Letter Email In person Other
To whom? (name/section/reference)