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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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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SUBMIT FORM
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