Electronic Complaints Form Question Title * Your name Please enter your full name. Question Title * Your contact details An email address is required so we can acknowledge and respond to your complaint. If you are unable to provide an email address, please provide your phone number so we can contact you about your complaint. Question Title * Are you submitting this complaint on your own behalf or on behalf of someone else? Myself Other (please specify) Question Title * Nature of your complaint: Please describe your complaint in detail. Include what happened, when it happened, and who was involved (if applicable). Question Title * What aspect of data use does your complaint relate to? Access to your personal data Accuracy or rectification of data Erasure (“right to be forgotten”) Restriction of processing Data portability Objection to processing Automated decision-making/profiling Data security/breach Use of cookies or tracking technologies International data transfers Other (please specify) Question Title * Supporting information Please attach any relevant documents, emails, screenshots, or other evidence that may help us investigate your complaint. Question Title * Have you previously contacted us about this issue? No Yes (please provide details) Question Title * Desired outcome What would you like to see happen as a result of your complaint? (e.g., correction of data, explanation, apology, assurance of future compliance, etc.) Question Title * Consent to process complaint Yes No By consenting, you acknowledge and agree to Lichfields' Privacy Notice for Data Use Complaints. Complaints submitted with 'no' to this question will be not processed. Question Title * How would you prefer to be contacted about the outcome? Email (please provide your email address) Phone (please provide your phone number) Other SUBMIT COMPLAINT
