Complaint Form

If you wish to make a formal complaint please submit this here.

Before submitting your complaint

Write your complaint in simple, precise language.

This form is for complaints relating to NHSCFA people or services.
For general enquires or fraud referrals please use the information provided on our contact us page under the general enquires section.

Contact details

First name

Last name

Information to help us with your complaint

When did the incident occur?

For example: 31 12 2020

Day

Month

Year

What is the nature of your complaint?

Details of your complaint

Please provide a detailed explanation of your complaint providing as much information as possible.

Resolving your complaint

Please tell us what action you would like to see the NHSCFA take in response to your complaint.

Do you have any supporting information you would like to provide electronically?

Select 1 option

Yes

If yes, please briefly describe the information.

We will contact you after your complaint has been logged to arrange secure submission.

Do you require any support or reasonable adjustments to make or progress your complaint?

Select 1 option

Yes

If yes, please tell us how we can support you.

For example, you may prefer to receive information by email or letter, require information in an alternative format, or have any other communication needs.

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