Comments, Compliments & Complaints (Customer Feedback)

Who is this form for?

Please use this form if you have a comment about our service, a compliment for a member of our team, or a complaint.

Protecting your personal data

By completing this form you acknowledge that we will follow our responsibilities under data protection legislation. We will store the information securely, share it with partners and other statutory agencies where we have the right under law to do this, use it only for the purpose it was provided and process it as set out in our privacy policy. For more information please see our privacy policy on our website www.berneslaihomes.co.uk


  • 1. Customer details
  • This is about the service received by:

  • Who are they?

  • Address of this person

  • Name of the person you are contacting on behalf of

  • Telephone number of this person

  • Email Address of this person

  • 2. Feedback
  • Type of feedback

  • Which service does this feedback relate to?

  • If you know please tell us the date of the matter you are telling us about

  • What do you want to tell us about?

  • What would you like us to do to put things right?

  • Have you already informed us about this?

  • Who did you report this to and when?

  • 3. Your details
  • Title *

  • First Name *

  • Last Name *

  • Phone Number *

  • Email Address

  • Date of Birth

  • Address *

  • 4. Upload Documents
  • Use this section to upload information that may help us deal with your contact. For example a photo or a letter. To upload this information you can either use a scanner or take a photo with your phone or tablet. Just click the upload button.

    More than one piece of information? Just click the “Add” button after you’ve finished uploading each one. You can upload a maximum of five pieces of evidence.

    If you haven’t got the evidence to upload at this point you can save your form until you have or you can upload it later using our “Document upload e form” which you can find on the Tell Us About it section of our website.
  • Documents of proof

    You can upload the following file types: JPG, PDF, PNG
    Please note if you are going to save this form instead of submitting, you will need to upload your file when you submit.

  • 5. Confirmation
  • By completing this form you acknowledge that we will follow our responsibilities under data protection legislation. We will store the information securely, share it with partners and other statutory agencies where we have the right under law to do this, use it only for the purpose it was provided and process it as set out in our privacy policy. For more information please see our privacy policy on our website www.berneslaihomes.co.uk

    By ticking the box below I confirm that the information in this form is true and that you will contact me if you need to discuss the matter further
  • Confirm