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Easy Read Bus Complaint Form
Easy Read Bus Complaint Form
Consent for storing submitted data
*
Yes, I give permission for you to store and process my data
Please fill out as much detail as you can about your journey including:
Your name and address
Time you travelled
Date you travelled
Your bus number or where you got on and off the bus
Step 1
Step ❶
What is your Name?
Title
First name
Last name
Step 2
Step ❷
or
Your Telephone Number
Step 3
Step ❸
What is your Address?
(where do you live)
Step 4
Step ❹
Your e-mail address
Step 5
Step ❺
What date did you use the bus?
What time did you use the bus?
Step 6
Step ❻
Where did you get on the bus?
Where did you get off the bus?
Step 7
Step ❼
What was the bus number or letter?
Step 8
Step ❽
Write down what went wrong on your bus journey
Flag consent
If the form will not submit, make sure you have given permission for you to store and process your data
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