Licenses Complaint Form

Use this form to make a complaint about licensed or unlicensed activities.

Please ensure that you have read our information on making a complaint before you complete this form.

Use your computer's mouse or the [TAB] key to move between fields. Do not use [ENTER] in the single line entries or the form may be sent prematurely.

About You

Your Name:

Your Address:

Daytime Telephone:

Evening Telephone:

Your E-mail address:

If you do not have a valid email address please leave the "Your E-mail address" box blank.

Which of these best describes your ethnic origin:

Bangladeshi	Indian
Black African	Irish
Black Caribbean	Pakistani
Chinese	White
Other (please state)

About Your Complaint

Is this a complaint about...
Licensed Premises
Unlicensed Premises
Don't know?

Name of business or premises:

Address of premises:

Describe the nature of your complaint:

When you have completed the form, please click to send it to us.

We will then contact you in the near future.

Please check your contact details to ensure that we are able to contact you.