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complaints leaflet - Newcastle City Council

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Making a complaint to<br />

Adult Services<br />

Please tick the appropriate boxes below<br />

Arabic<br />

Urdu<br />

Bengali<br />

Punjabi<br />

Hindi<br />

Cantonese<br />

I want this information by e-mail<br />

I want this information in Braille<br />

I want this information on audio tape<br />

I want this information in large print<br />

About you<br />

Title (Mr, Mrs, Miss or Ms) . . . . . . . . . . . . . .<br />

Name .................................................<br />

Address ................................................<br />

.......................................................<br />

.................................. Postcode .............<br />

Phone ..................................................<br />

✂E-mail address ..........................................

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