Form UC-22 (Rev. 4)

Universal Complaints & User Narrative Tracker

(UCUNT)

This form is the sole approved channel for the registration of a formal grievance against the Respondent. Submissions made by any other means — including verbally, at volume, in a car park — are not recorded and cannot be escalated.

Reference: —
Issued: —
Status: Open for submissions
Retention: Indefinite

Before you begin

Please complete all sections marked *. Partial submissions are retained but not read. You may save nothing and return to nothing; there is no draft facility. The average completion time is fourteen minutes, or four minutes if you already know exactly what you want to say, which you do.

Part A Complainant Particulars

1. Full name *

As you would give it if you were being formal about this, which you are.

2. Email address *

Correspondence, if any, will be sent here.

3. Preferred form of address

4. Relationship to the Respondent *

Part B Particulars of the Incident

5. Date of incident *

6. Approximate time

7. Location or venue

8. Were there witnesses?

Yes No Yes, but they laughed Yes, and they have since changed their account

9. Category of grievance *

10. Describe the incident in your own words *

Please be as specific as you are able. Capitals are permitted.

0 / 4000

11. Describe the incident again, but shorter

This is the version that will be read.

0 / 200

12. Was alcohol a factor?

Mine Theirs Both Neither, which is worse

Part E Declaration

I confirm that the information given above is true to the best of my recollection, which is emotional. * I understand that complaints are triaged in the order that amuses, and that no service level applies. * I consent to this complaint being read aloud.

On submission you will be issued a reference number. It does not do anything.