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01372 732000
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Epsom & Ewell Borough Council
Town Hall
The Parade
Epsom
Surrey
KT18 5BY
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CRM Forms
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Comments Compliments and Complaints Form
Comments Compliments and Complaints Form
We need the information we are asking for so that we can deal with your comment, compliment or complaint properly.
Note: * denotes a required field
Your Details
Title
*
Please Select ...
Mr
Mrs
Miss
Ms.
Dr
Cllr
First name
*
Surname
*
Property Name or Number
*
Street
*
Town
*
County
*
Postcode
*
Please enter a valid e-mail address, e.g. contactus@epsom-ewell.gov.uk
Your e-mail address
*
Preferred Telephone Number
*
Is this a comment, compliment or complaint
Comment
Compliment
Complaint
What happened?
Have you spoken to anyone about this before?
Yes
No
If you have answered 'yes' please give details of when and to whom you spoke, or wrote to
Preferred method of response:
In writing
Over the telephone
By email