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WWDC Complaints Log Sheet
Use the information below to copy and paste in order to make a form and when completed email to: clerk@holtpc.fsnet.co.uk If you would like a copy of the form in Word format please request one from: david@mochdre.eclipse.co.uk WEST WILTSHIRE DISTRICT COUNCIL LOG SHEET Complaint Number 06/04369/FDGEN PLEASE ENSURE YOU FILL IN THIS LOG SHEET CAREFULLY AS IT MAY BE USED AS EVIDENCE AT A LATER DATE YOUR ADDRESS..............................................................................
COMPLAINT ADDRESS......................................................................
DATE | TIME* FROM | TIME* TO | TYPE OF NUISANCE | EFFECTS OF NUISANCE | RECORD MADE BY |
This statement is true to the best of my knowledge and belief and I make it knowing that, if it is tendered in evidence, I shall be liable to prosecution if I wilfully stated in it anything which I know to be false or do not believe to be true.
SIGNED................................ DATE...............................
SIGNED............................... DATE...............................
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