|
|
|
|
|
|
|
|
|
Complaint Form (Marketing Messages)
|
Privacy and Electronic Communications (EC Directive) Regulations 2003
|
You should only use this form to report complaints about
marketing messages sent in possible breach of the Privacy and Electronic
Communications (EC Directive) Regulations 2003. Do not fill in this form
until you have read the 'Privacy and Electronic Regulations- when and how to
complain'booklet. If you need help to fill in this form, please contact the
ICO Helpline on 0303 123 1113
|
1.Your Details:
|
|
|
|
Previous Contact with the ICO
|
|
Title:
|
|
|
|
(Please provide any
reference number already given to you)
|
First Name:
|
|
I Do not have a reference number.
|
|
Other Names:
|
|
This is the first time I have contacted you.
|
|
Last Name:
|
|
Have you
given permission to anyone else to speak to us about your complaint?
|
|
Address:
|
|
|
|
Do you have a relationship with the sender ?
|
|
Post Code:
|
|
|
|
Daytime Telephone:
|
|
(if 'Yes' briefly describe nature of relationship)
|
Fax:
|
|
|
|
Email:
|
|
|
2. Person Authorised
to Speak to ICO (if applicable)
|
|
|
Title:
|
|
|
|
3. Who was
the marketing message form? (This will usually be an organisation)
|
First Name:
|
|
Other Names:
|
|
Name:
|
|
Last Name:
|
|
Address:
|
|
Address:
|
|
|
|
Postcode:
|
|
|
|
|
Post Code:
|
|
|
Telephone:
|
|
Telephone
|
|
Email:
|
|
Fax:
|
|
Website:
|
|
Email:
|
|
|
|
|
|
|
|
|
|
|
|
|
Have you
ever given the organisation permission to contact you in this way?
|
|
3.Subscriber Details:
|
|
|
|
|
Are you the subscriber (account holder) for this number or email
address?
|
|
If 'Yes' have you now asked them to stop?
|
|
|
How was the message
made or sent?
|
|
If 'No', who is?
(Please specify)
|
|
Please give the number or email address on which the marketing
communication was received.
|
Is the number registered with the Telephone Preference Service
(TPS)?
|
|
|
|
(Fax Complaints Only)Is the number registered with the Fax
Preference Service (FPS)?
|
|
|
|
|
|
|
|
|
|
|
Was the message diverted to you from another number or email?
|
|
Date Message Sent
|
|
|
|
Time Message Sent
|
|
|
Has the receipt of these messages had any practical impact on
you? (eg: prevented prevented urgent messages being received, incurred costs
etc?)( If 'Yes' please send details.)
|
|
|
In the case of fax and email complaints, ICO will not be able to
investigate unless you provide them with copies of the marketing
communication you received.
|
|
|
In all cases, please send copies of any correspondence between
you and the organisation or individual concerned in which you registered your
objection to receiving such messages or otherwise tried to solve the problem.
|
|
|
Send only documents that are directly relevant to your
complaint. If you send too many irrelevant documents, the ICO may send them
back and ask you to return only the relevant ones. In the unlikely event that
you need to send a large amount of documents, please clearly mark the
relevant parts. If you do not the ICO may return them and ask you to do this.
You should also send copies of relevant correspondence between you and any
other organisation (for example an industry regulator or ombudsman) trying to
solve the problem.
|
|
|
|
|
Important information about your supporting documents
|
Any paper documents will be scanned and held by the ICO as
electronic records. In most cases, the ICO will destroy documents you send
after six months. You should only send copies of documents and make sure you
keep the originals in case they are needed for later verification. You will
need to make it clear each time you send something to the ICO if you would
like it to be returned to you. Please list the supporting documents you sent.
Do not just write 'see attached' If you cannot provide the ICO with copies
and you would like the ICO to return your documents, please tick here.
|
|
|
|
|
DECLARATION
|
I confirm that: I understand that during any necessary
investigations, you may need to disclose the details I have provided to the
subject of my complaint to allow them to investigate. I have clearly
indicated any information which I do not want to pass on. To the best of my
knowledge I have given you accurate information relating to this complaint. I
understand your policy is to destroy documents relating to complaints after
six months. I have clearly indicated those documents that you should not
destroy and should return to me. I have listed all the documents I am sending
with this form. I have read 'The Privacy and Electronic Communications
Regulations-When and how to complain' leaflet and understand that you have no
powers to punish an organisation for any likely breach of the regulations and
that you cannot award compensation. Please check this box to confirm.
|
|
|
|
|
|
|
Are you the person named in section 1 of this form? Please
Select: If 'No', please make sure your details are provided in section 2 of
this form and check this box to confirm you have permission of the
complainant to act on their behalf.
|
|
|
Sending your complaint to the ICO by email: If you have copies
of the supporting documents you need to send, please attach them to the same
email as your complaint form, and send to:
casework@ico.gsi.gov.uk
|
By Post: If you only have paper copies of some of the supporting
documents you need to send, please print this form and post it along with all
your supporting documents to: Customer Service team, The Information
Commissioner's Office, Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9
5AF.
|
CMCwebconsult.com will not be held liable for the accuracy of
any such information input or submitted by the end user, and provides this
online form for general use. CMCwebconsult.com does not collect any
information herein entered.(C) 2011
|
|
|
|
|
|
|
|
|
|