Fill - Free fillable Member-Code-of-Conduct-Complaint-Form-2018 MEMBER CODE OF CONDUCT PDF form

DARTFORD

BOROUGH COUNCIL

•

MEMBER CODE OF CONDUCT – ALLEGED BREACHES

Complaint Form

1. Your Details [items marked * must be completed – anonymous complaints will not

be considered] Please also note that you should have no expectation that your

identity will not be revealed.

Title*:

First name*:

Last name*:

Address*:

Daytime telephone*:

Evening telephone*:

Mobile telephone:

Email address*:

2. Which complainant type best describes you*?

Member of the public

An elected or co-opted member of an authority

Member of Parliament

Local authority Monitoring Officer

Other council officer or authority employee

Other (please give details)

3. Please provide us with the name of the councillor you believe has breached the

Code of Conduct and the name of their council/authority:

Title First name Last name Council or authority name

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4. Please explain in this section what the councillor has done that you believe

breaches the Code of Conduct. Continue on a separate sheet if there is not

enough space on this form.

It is important that you provide all the information you wish to have taken into account

by the Monitoring Officer when she (acting in consultation with the Independent

Person) decides whether to take any action on your complaint. For example:

• You should be specific about exactly what you are alleging the councillor said or did.

For instance, instead of writing that the councillor has conducted himself in a manner

which could reasonably be regarded as bringing his office or the authority into

disrepute, you should state what it was they said or did.

• You should provide the dates of the alleged incidents wherever possible.

• You should confirm whether there were any witnesses to the alleged conduct and

provide their names and contact details if possible.

• You should provide any relevant background information.

Please provide the details of your complaint.

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5. Remedy Sought

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Print

name*:

Date:

By ticking the box below I am confirming that I have completed the form to the best of my

knowledge and have read and understood the terms and conditions

In the interests of fairness and natural justice, the councillor complained of, will be told that a

complaint has been made against him/her and your name. The councillor will be provided

with a summary of the complaint. You should have no expectation that your identity will not

be revealed.

DATA PROTECTION - We will use the personal information you give us to administer our

complaints process into alleged breaches of the Member Code of Conduct by elected

councillors and co-opted members.

Our lawful bases for processing your personal information are:

• our legal obligation(s) under the Localism Act 2011

• necessary for the performance of a task in the public interest or in the exercise of

official authority vested in the Data Controller (under the above legislation)

Some of the information that is collected is classified as special category personal data

and/or personal data consisting of criminal convictions and offences (including alleged

offences). This is processed for reasons of substantial public interest under the law that

applies to us (see above) where this helps to meet our broader social obligations such as

where it is necessary for us to fulfil our legal obligations and regulatory requirements. We

have a Data Policy that sets out how this information will be handled.

Dartford Borough Council, Civic Centre, Home Gardens, Dartford, Kent DA1 1DR is the Data

Controller dataprotection@dartford.gov.uk

Please refer to our Corporate Privacy Notice and the Privacy Notice for Member Code of

Conduct Complaints at www.dartford.gov.uk for further details on how we process your

personal information and your rights.

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CJ

Complaints Form – Monitoring Information

In order to ensure we target our services in the most effective way for our community, we

would appreciate if it you would give answers to the following questions:

Q1. Ethnic Group

White:

British

Irish

Any other white background

Black or black British:

Caribbean

African

Any other black background

Asian or Asian British:

Indian

Pakistani

Bangladeshi

Any other Asian background

Q2. Sex

Male

Female

Q3. Partnership Status

Single

Married/Civil Partner

Separated

Divorced

Widow/Widower

Q4. Age Group

Under 16

16-19

20-24

25-59

60-64

65 and above

Q5. Do you have a disability?

Yes

No

Q6. What is the nature of your

disability?

Difficulty getting around

Mental health problems

Learning difficulty

Difficulty seeing

Hearing difficulty

Other

Q7. To help us monitor issues for

different sections of our

community, we would appreciate it

if you would tell us which faith

group, if any, you belong to. If lack

of faith is an issue in itself we

would also like to know.

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