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Complaint Form

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0% found this document useful (0 votes)
74 views6 pages

Complaint Form

Supplement

Uploaded by

martinametodieva
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Complaint Form

This form is intended to help you to give the details that are necessary when lodging
a complaint. We need specific information from you so that we can deal with your
complaint.

You are free not to use this form so long that you provide the details indicated herein.

Complainants are required to sign their complaint, include any relevant documentation
and send it to:

The Ombudsman
Office of the Ombudsman
11, St Paul Street
Valletta VLT1210

All complaints are to be addressed to the Ombudsman who will then assign them for
investigation to the specialised Commissioners where applicable.

If the complainant may need more space in the respective sections, complainants may
use additional sheets.

1. Personal Details
First Name
Surname
ID Card Number
On behalf of (if applicable)
Address

Home Tel
Mobile
Email
2. Brief description of your complaint

3. Which government department, agency, organisation or service do


you wish to complain about?
Note: The list of persons and public bodies, as well as, matters which are subject to investigation by the
Ombudsman may be found in the FAQ section on our website.
4. Please provide information about your case and the decision,
action or omission by the body mentioned above and about which
you are submitting this complaint.
Note: The Ombudsman Act, provides that the Ombudsman shall not investigate a grievance if the
complainant first had knowledge of the matter complained about for more than six months. The Ombudsman
may, however, conduct an investigation on a complaint not made within this period if he considers that there
are special circumstances which make it proper for him to do so. The Ombudsman Act further provides that
the complaint will not be entertained unless complainant has sufficient personal interest in the matter
complaind of.

5. When did your grievance first come to your attention?

6. Have you already taken any steps to try to resolve your problem or
asked for a review/reconsideration or appeal against the decision
which you considered unfair?

Yes No

7. If the answer to question 6, is in the affirmative, please give details


on the action taken. (attach relevant documentation)
8. Why do think the public body treated you unfairly or infringed upon
your rights?

9. What results do you hope to achieve with your complaint to put


things right and resolve the dispute?
10. Authorisation

I wish the Ombudsman to investigate my complaint and I consent to the obtaining


of all relevant papers for the purposes of investigating the complaint under the
Ombudsman Act.

Were a complaint involves medical or health care, this consent will include
access by the Ombudsman to personal medical data held by Government as is
indicated in the investigation. (Delete if inapplicable)

_______________________
Signature

_______________________
Date

Persons who find it difficult or are unable to write their complaint may either phone the
Public Relations Officer (PRO) of the Office or call at the Office of the Ombudsman to
meet the PRO in person for advice and assistance.
The Office of the Ombudsman is open to the public as follows:

October – May 08:30 – 12:00


13:30 – 15:00

June – September 08:30 – 12:30

In line with the policy of the institution to adopt an informal attitude to complaint
resolution, it is not necessary for complainants to resort to the services of a
professional person (such as a lawyer), a trade union representative, a Mayor or a
local councillor in order to lodge a complaint with the Ombudsman. Complaints that
reach the Ombudsman through the intervention of any such person will still receive
the same treatment as any other grievance. The service provided by the Ombudsman
is completely free of charge.

The Office of the Ombudsman


11, St Paul Street
Valletta
VLT1210

Tel: +356 2248 3200 Fax: +356 2124 7924

For general enquiries: office@ombudsman.org.mt

For public relations enquiries: pro@ombudsman.org.mt

www.ombudsman.org.mt

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