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Complaint form

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Mr Mark Elms M.A. Headteacher<br />

Miss Lorraine Stewart B.Ed. Deputy Headteacher<br />

Mr Richard Graham B.Sc. (Hons) Deputy Headteacher<br />

Ms Michelle Rosemond B.Ed (Hons) Assistant Head and SENCo<br />

Ms Rachel Delacy-Taylor CSBM, InstAM School Business Manager<br />

TIDEMILL PRIMARY SCHOOL COMPLAINT FORM<br />

Please complete this <strong>form</strong> and return it to the Head Teacher / Chair of Governors who will acknowledge it’s<br />

receipt and in<strong>form</strong> you of the next stage in the procedure<br />

Part 1 – Contact In<strong>form</strong>ation<br />

Your Name<br />

Relationship with School (e.g.<br />

Parent of a pupil on the school’s<br />

roll)<br />

Pupil’s Name (if relevant to the<br />

complaint)<br />

Your Address<br />

Daytime Telephone Number<br />

Evening Telephone Number<br />

Part 2 – Details of <strong>Complaint</strong><br />

Please give concise details of your complaint (including dates, names of witnesses etc) to allow the matter to<br />

be thoroughly investigated.<br />

You may continue on separate paper, or attach additional paperwork if you wish.<br />

Number of additional pages attached:<br />

Frankham Street, Deptford, London, SE8 4RN. Tel: 020 8692 3470 Fax: 020 8305 8985<br />

www.tidemill.net


What action, if any, have you already taken to try to resolve your complaint? (i.e. who have you spoken with<br />

or written to and what was the outcome?<br />

What actions do you feel might resolve the problem at this stage?<br />

Signature:<br />

Date:<br />

___________________________________________________________________<br />

School Use Only<br />

Date <strong>form</strong> received<br />

Received by<br />

Date acknowledgement sent<br />

Acknowledgement sent by<br />

<strong>Complaint</strong> referred to<br />

Date<br />

Frankham Street, Deptford, London, SE8 4RN. Tel: 020 8692 3470 Fax: 020 8305 8985<br />

www.tidemill.net

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