Complaint

Are you a Perenna Customer?*

Tell us a little bit about you

First Name*

Last Name*

Date of Birth (DOB)*

E-mail Address*

Contact Number*

First line of Address*

Town / City*

Postcode*

Account Number (optional)

Give us some information about your complaint

If this relates to a previous or ongoing complaint, please provide the reference number (optional)

To help us investigate and resolve your complaint please give us as much detail as possible (Max 10,000 characters)*

Tell us how you would like us to put things right (Max 10,000 characters)*

We may need further information so that we can resolve your complaint as quickly as possible. Please let us know how you would like us to contact you.*

Do you need any additional support? (optional) (Max 10,000 characters)

For example, you may wish to tell us about someone else that helps you manage your account or about a mental or physical illness or impairment that you have. We will only use what you tell us here in relation to this request.

Attachments