[Your name]
[Your address]
[Date]

Complaints Team
[Council name and address]

Dear Sir or Madam,

Formal complaint: adult social care

I am making a formal complaint about [what happened, for example: a delay with my needs assessment].

What happened:
- On [date] I [asked for / was told] ...
- Since then ...

How this has affected [me / them]: ...

To put this right, I would like: [for example: an assessment date within 2 weeks].

Please send me a written reply. If I am not happy with the answer, I understand I can go to the Local Government and Social Care Ombudsman.

Yours faithfully,
[Your name]

Free template from Social Care Made Easy. Information only, not legal advice.