Complaint Notification Form

Please complete the form as fully and carefully as possible.

Date of Complaint
Name
Title
School/College (if applicable)
Address
Address 2
Postcode
Contact number
Fax number
Email
Confirm Email
Area(s) of complaint (please tick all appropriate boxes)
Examinations GCSE
Curriculum GCE
Assessment GOML
Communications CoEA
Invoices/Payments Key Stage 1/Key Stage 2
Marking Key Stage 3
Provision of Results Record of Achievement
Sales Items Transfer Tests
Consultation Arrangements Specifications
Script/Coursework Collection/Return CCEA Policies
Receipt of materials Other (please detail below)
Nature of complaint (please complete below)
Solution requested (please complete below)

Complaints Co-ordinator, CCEA, 29 Clarendon Road, Clarendon Dock, Belfast, BT1 3BG Tel: (028) 9026 1205 Fax: (028) 9026 1233 Mobile: 07796 947 993 Textphone: (028) 9024 2063

CCEA/FO/0096/06