COMPLAINT FORM IN CONNECTION WITH THE BEHAVIOUR OF A COUNCILLOR AND THE CODE OF CONDUCT Your details 1 Please provide us with your name and contact details: Title: First Name: Last Name: Address: 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. 2 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 3 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). 4 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: - 5 Selflessness Integrity Objectivity Accountability Openness Honesty Leadership Please provide us with the name of the member(s) you believe have breached the Code of Conduct and the name of their authority: Title First Name Last Name Council or Authority Name 6 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 confidential. 7 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 intimidation. 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 8 Complaints must be submitted in writing. This includes fax and electronic submissions. 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 possible. Please send this form to: The Monitoring Officer North East Derbyshire District Council District Council Offices 2013 Mill Lane Wingerworth Chesterfield 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 investigation.
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