Minor issues form

Name

Email

Are you a member of Centre?

Is the issue about something that happened to you or someone else?

Would you like to remain anonymous?

Have you done anything to try to resolve this issue?

Explanation of the minor issue

URL of the post if it is a social media post:

Is there any additional evidence that you would like to send us?

Is this an appeal?

What is the name of the person or people you would like to raise a minor issue about? (if it is not about a specific individual, simply leave this blank).

How old is the person or people in question? You don't need to include this if you don't know. (please list their names and then their ages if there are multiple people)

Are they a member of Centre? (tick more than one if it involves multiple people) Unsure

Yes

No

What region or state within the UK do they live in? (tick more than one if it involves multiple people) Unsure

Scotland

Wales

Northern Ireland

North West

North East

South East

South West

East of England

East Midlands

West Midlands

London

Yorkshire and the Humber

What position is the person or people in? (tick more than one if it involves multiple people)

What would you like to see from raising this minor issue? (i.e. for it to be corrected)

Is this a joint report of a minor issue?

If this is a joint report, please list the other people making a complaint alongside you:

Tick here to agree to our privacy policy(required)

Minor issues form

Sections:

Report a minor issue to George Butcher:

Report a minor issue to the Deputy Head of Complaints (currently vacant, don’t use this form):