Please complete all sections before continuing to the next stage.
Saving your data...
You can download the form here. Please note that we are currently dealing with a significant number of cases. Regrettably, staffing issues have resulted in an accumulation of applications awaiting initial assessment and allocation. We apologise for the delay and wish to reassure you that your application remains pending.
Supplementary information may be submitted only in support of a fully completed application form. Only one application may be worked on at any one time. Incomplete application forms will not be accepted.
If you would like further information about the role or powers of the PIRC before completing this form, please explore the complaint reviews section. If you need to contact the Review team please call 01698 542900 or email firstname.lastname@example.org.