CAYMAN ISLANDS FIRE SERVICE COMPLAINTS FORM

CAYMAN ISLANDS FIRE SERVICE
COMPLAINTS FORM
Personal Details
Mr.
Mrs.
Ms.
Surname:
Postal Address:
Street Address:
District of Residence:
Dr.
Contact Details:
Home:
Work:
Fax (work):
E-mail:
Fax (home):
Other:
Date:
First Name:
Cell:
Nature of Problem
Please indicate the nature of the complaints in the space below and provide the specific
information requested (please use extra sheets if needed)
Name of person
complaint is being made
against:
Name of service and/or programme complaint is being made against:
Date incident
occurred:
Time incident
occurred:
To the best of my knowledge the information stated above is an accurate account of my
complaint. I understand that this compliant will be treated confidentially. However, it
may be necessary for the Fire Service to contact me in order to obtain more information
on the complaint, and I will assist as necessary. I also understand that by making a
complaint, a decision may not necessarily be reversed, nor can the Cayman Islands Fire
Service guarantee that a policy will be changed. I understand that my compliant will be
addressed in writing by the Chief Fire Officer within 10 working days from the date I
make this complaint. Finally I understand that the complexities of investigating
complaints may require additional time. If so, I will be notified in writing within 10
working days and I will be given a new date.
Signature:
Date:
CIFS USE ONLY
Complaint #:
Date Complaint received:
Time Complaint received:
Was complaint received in writing? Y
N
If written complaint, tick method submitted:
By Hand
Mailed
Fax
Additional information/observations
from staff member receiving
complaint:
Email
Was complaint received verbally Y
N
If verbal complaint, tick method:
By Phone
In Person
Staff member receiving complaint:
Staff members signature:
Date Complaint of Investigation Began:
Date(s) contacted complainant for more
information:
Date written correspondence sent to
complainant by the Chief Fire
Officer:
Please return to:
Human Resource Department
Cayman Islands Fire Service
148 Owen Roberts Dr
P.O. Box 1804
Grand Cayman KY1-1109
Cayman Islands
Tel: 949-2499 Fax: 949-0268