SCRC - Information Request Form

Register Your Personal Details

If you have already registered with us, you can login here

Please register your details below, choose a username and password that you can use to log back in again to review your complaint or information request.

The Care Commission will process (gather, use, store, disclose etc.) your personal information for the purposes of dealing with your complaint or information request in accordance with the Data Protection Act 1998. The information will not be disclosed to any other organisation, unless we have a legal obligation to do so.

If you register your details you can ask us not to pass them on to anyone else, for example to the service provider or person you are complaining about. We will do all we can to respect this. However, there may be special circumstances in which we might not be able to. For example, if it appears that a criminal offence has been committed, the Care Commission would have to release your name to the police. We will let you know if we have to do this.

*Fields marked with an asterisk are mandatory.

Create Username and Password

Please choose a suitable username and password, please only use letters and numbers and please ensure they are between 6 and 16 characters in length.

Username*

Password*

Re-enter Password*

Your Details

Title*

First Name*

Surname*

Job Title

Organisation

Contact Details

Address 1*

Address 2

Address 3

Address 4

City*

Post Code

Home Telephone

Work Telephone

Mobile Telephone

Email Address

Re-enter Email Address

Preferences

What is your preferred method of communication?

If you decide to make a complaint, do you want us to tell the person or organisation you are complaining about, that you have made the complaint?

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Click on the 'Continue' button to register your details

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Register Your Personal Details

*Fields marked with an asterisk are mandatory.