Complaint Form
Complaint Form
1.0 Introduction
You can use this form to register a complaint which you wish Stroma Built Environment to be made aware of.
For full details of how we will handle your complaint, please refer to the Stroma Built Environment
Complaints Policy
.
Please supply as much information as possible relating to your complaint or appeal.
Stroma Built Environment will ensure compliance with the General Data Protection Regulation (GDPR) when processing the personal information that you have included within this document. If you would like to find out more information about Stroma Built Environment's compliance with GDPR and your personal data, please visit our website www.stroma.com/data-protection. If you have any questions concerning data protection or the use of your personal data, please contact us before submitting this document.
2.0 Personal Details
Please provide your details below.
Name
Name
*
Title
First
Last
Suffix
Address
Address
*
Street Address
Address Line 2
City
County
Postcode
United States
United Kingdom
Canada
Australia
Netherlands
France
Germany
-------
Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
Gabon
Gambia
Georgia
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
Email Address
*
Contact Telephone Number
*
3.0 Complaint Information
Please provide details concerning the complaint below.
Project or Reference Number (where applicable)
Complaint Details
*
Please upload any supporting information (where applicable)
Attach Files
Stroma Built Environment will ensure compliance with the General Data Protection Regulation (GDPR) when processing the personal information that you have included within this document. Stroma Built Environment will only use this information in accordance with the specific project and to contact you about other opportunities with Stroma if you have given permission for this to happen. If you would like to find out more information about Stroma Built Environment's compliance with GDPR and use of your personal data, please visit our website www.stroma.com/data-protection. If you have any questions concerning data protection or the use of your personal data, please contact us before agreeing to these Terms & Conditions.
4.0 Declaration
*
I can confirm that the information I have provided is accurate to the best of my knowledge and at the time of submitting my complaint.
Produced By:
Mr Marc Cowlin Quality Manager
Authorised By:
Mr Steve Horrocks Managing Director
On behalf of Stroma Built Environment Ltd
Issued Date: 27/03/2019
Issue Revision: v1.1