Online Complaints form Please complete the details below and click on the ‘Submit’ button at the bottom of the form. For more information on the Complaints process please go to the Complaints Procedure section. Name*Address Street Address Address Line 2 City Post Code Home Telephone NoMobile Telephone NoEmail What is your complaint about?* (please give as much detail as possible)When did it happen?*What do you think should be done to put things right?*Please give details of any special needs we need to bear in mind when we are dealing with your complaint or communicating with you.If you have already complained about this issue, please tell us who you raised it with and what action they took?PBNI value your feedback on how we handled your complaint and may wish to contact you after we deal with your complaint. If you do not want us to make contact, please tick the box. Do not make contact * required field The details of your complaint will be logged and this information will not be used for any other purpose other than the administration of your complaint.