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SEUPB
Complaints
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Complaints
Part A - Your Details
Your name
Surname
- Select a value -
Mr
Mrs
Miss
Dr
Forenames
Address
Postcode
Your email address
Telephone
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Part B-WHAT IS THE COMPLAINT ABOUT
Please indicate which are your complaint relates to by placing a tick in the appropriate box below
A service provided by the SEUPB
A Project/organization in receipt of EU funding
If your complaint relates to a funded project/organisation, have you contacted them regarding your concerns?
Yes, I have submitted a complaint to the project/organisation concerned
Please attach a copy of your complaint submitted to the project/organisation and the response you received.
No, I have not submitted a complaint to the project/organisation concerned
If you have not already contacted the project/organisation concerned, please outline below your reasons for not doing so.
What date did the action you are reporting occur?
If there has been a delay of more than 12 months in telling us about your complaint, please outline your reasons below.
Part C – COMPLAINT DETAILS
Please provide a background to your complaint, attaching any supporting documentation. Please provide as much detail as possible
How have you been affected by this incident? Describe in what way you have suffered or your interests have been affected.
What remedy do you hope to achieve as a result of your complaint?
PART D – FREEDOM OF INFORMATION
For the purposes of Freedom of Information, please state whether you require your complaint to be treated in a strictly
For the purposes of Freedom of Information, please state whether you require your complaint to be treated in a strictly confidential manner. Whilst we will try to respect your wishes in this regard, confidentiality is not absolute, and under certain circumstances we may be required to release information to third parties. We will consult with you before any decision is made and you will have a right to appeal any decision that you are not happy with, in this regard.
Please read and sign the statement below
Signed
Date
Date
I declare to the best of my knowledge and belief, that the information and/or documents that I provide are true and correct. I understand that whilst my confidentiality rights will be protected, the SEUPB may have to disclose information to other organisations in order to resolve the complaint.
Declaration
PART F - WHERE TO SEND THIS COMPLETED FORM
Complaints Officer
Special EU Programmes Body
7 Floor, The Clarence West Building
2 Clarence Street West
BELFAST
BT2 7GP
Email: feedback@seupb.eu
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