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Complaint details

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Origin *

Origin *

Your involvement *

Complainant to remain anonymous

Add additional case contact *

Yes No

Membership number

Vehicle registration

Breakdown reference

Breakdown date

Breakdown date (end)

Other reference

Please provide details of your complaint below *

Please provide details *

Relevant to *

Fault area *

Forward to unallocated work queue

No Yes

Reason *

Bypass initial resolution and handle the case

Details of action taken to resolve the issue *

Outcome *

Referred *

Yes No

Redress offered? *

Amount (£) *

Redress offered? *

Yes No

What would you like us to do to resolve the issue?