Online Complaints Form (step 1/2)

This form can be submitted by email or printed down and sent by post. If you have a digital copy of the marketing communication or material associated with the sales promotion you can attach it. Alternatively, you can print out this form and post it to us with a copy of the marketing communication or material associated with the sales promotion.

Note: Your session will time out after approx 15 minutes, please enter your data within this time limit to ensure a sucessful submission.


(indicates a required field. You must complete these fields before submitting the form.)

Title
Forename
Surname
Address
Telephone
Email
Fax
Have you a commercial or other interest in making this complaint? If so, select YES, otherwise leave unchecked (The identity of an individual consumer complainant is kept confidential and not disclosed to the advertiser or their agents).
If yes please list your
company or organisation

Who is the advertiser ?
What product or service is being advertised ?
Media in which the advertisement appeared or other
WHERE did you see/hear the advertisement ?
(Please be as specific as possible, giving name of publication, page number, location of poster site, name and location of cinema, name of television/radio station, etc.)
WHEN did you see/hear the advertisement ?
(Please be as specific as possible, giving the date of the publication, date you went past the poster site, etc. If a sales promotion any additional features.)
Your complaint
(Please be as detailed as possible. For example, if you consider an advertisement to be misleading, please state why you believe it to be so or if you consider an advertisement to be offensive, please state why.)