COMPLAINT FORM - North East Derbyshire District Council

Your details
Please provide us with your name and contact details:
First Name:
Last Name:
Daytime Telephone:
Evening Telephone:
Mobile Telephone:
E-mail Address:
Your address and contact details will not usually be released unless necessary or to
deal with your complaint.
However, we will tell the following people that you have made this complaint:
The Member(s) you are complaining about
The Parish or Town Clerk (if applicable)
We will tell them your name and give them a summary of your complaint. We will
give them full details of your complaint where necessary or appropriate to be able to
deal with it. If you have serious concerns about your name and a summary, or details
of your complaint being released, please complete Section 7 of this form.
Please tell us which complainant type best describes you:
Member of the public
An elected or co-opted member of an authority
Independent Person
Member of Parliament
Local Authority Monitoring Officer
Other Council officer or Authority employee
Equality monitoring questions
At NEDDC we take equality seriously and are committed to providing fair services
to everyone. Please complete the monitoring form attached as an appendix to
this complaint form (you do not have to fill in the form or answer any question
you do not feel comfortable with).
Making your Complaint
Please remember that we can only consider complaints that are about individual
Councillors (or members) when they are acting in their official capacity. We
cannot consider complaints about the authority as a whole, authority employees
or members when they are acting in a private capacity.
Only matters where you believe a member has breached the authority’s Code of
Conduct can be investigated. These are cases where the member has failed to
uphold any of the following seven principles:
Please provide us with the name of the member(s) you believe have breached the
Code of Conduct and the name of their authority:
First Name
Last Name
Council or Authority Name
Please explain in this section (or on separate sheets) what the member has done
that you believe breaches the Code of Conduct. If you are complaining about more
than one member you should clearly explain what each individual person has done
that you believe breaches the Code of Conduct.
It is important that you provide all the information you wish to have taken into
account by the Monitoring Officer when he/she decides whether to take any action
on your complaint. For example:
You should be specific, wherever possible, about exactly what you are alleging
the member said or did. For instance, instead of writing that the member
insulted you, you should state what it was they said.
You should provide the dates of the alleged incidents wherever possible. If you
cannot provide exact dates it is important to give a general timeframe.
You should confirm whether there are any witnesses to the alleged conduct and
provide their names and contact details if possible.
You should explain how the circumstances relate to the Councillor acting in
their official capacity, e.g. whether the matter occurred at a council meeting.
You should provide any relevant background information.
Please provide us with the details of your complaint. Continue on a separate
sheet if there is not enough space on this form.
Only complete this next section if you are requesting that your identity is kept
In the interests of fairness and natural justice, we believe members who are
complained about have a right to know who had made the complaint. We also
believe they have a right to be provided with a summary of the complaint. We
are unlikely to withhold your identity or the details of your complaint unless you
have good reason to believe that you are likely to be subject to harassment or
Please note that requests for confidentiality or requests for suppression of
complaint details will not automatically be granted. The Monitoring Officer will
consider the request alongside the substance of your complaint. We will then
contact you with the decision. If your request for confidentiality is not granted,
we will usually allow you the option of withdrawing your complaint.
However, it is important to understand that in certain exceptional circumstance
where the matter complained about is very serious, we can proceed with an
investigation or other action and disclose your name even if you have expressly
asked us not to.
Please provide us with details of why you believe we should withhold your
name and/or the details of your complaint:
Additional Help
Complaints must be submitted in writing. This includes fax and electronic
However, in line with the requirements of the Disability
Discrimination Act 2000, we can make reasonable adjustments to assist you if you
have a disability that prevents you from making your complaint in writing.
We can also help if English is not your first language.
If you need any support in completing this form, please let us know as soon as
Please send this form to:
The Monitoring Officer
North East Derbyshire District Council
District Council Offices
2013 Mill Lane
S42 6NG
Email address: [email protected]
All personal information provided to North East Derbyshire District Council will be held and treated in
confidence in accordance with the Data Protection Act 1998. It will only be used for the purpose for which it
was given.
Unless you have requested confidentiality, in order to investigate your complaint your details may be shared
with the councillor that you have complained about, any witnesses, the Council’s Independent Persons and
members of the Standards Committee. Details of your complaint made also be made public following any