Details
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Type of breach being reported*
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Breach type is required
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Name of bankrupt / disqualified director / person complained of *
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Person complained of, Name: You may not enter angle brackets
Name of bankrupt / disqualified director / person complained of is required
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Name & address of company they are involved with (if applicable)
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Company name
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Person complained of, Company: You may not enter angle brackets
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Company registered number
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Person complained of, Company registered number: You may not enter angle brackets
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You can find the company's number using the Companies House Register.
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Website
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Person complained of, Website: You may not enter angle brackets
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| Address |
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Person complained of, Address 1: You may not enter angle brackets
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Person complained of, Address 2: You may not enter angle brackets
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Person complained of, Address 3: You may not enter angle brackets
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Person complained of, Address 4: You may not enter angle brackets
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| Postcode |
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Person complained of, Postcode: You may not enter angle brackets
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Is the above named company still trading?
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Are you are giving the following information on behalf of a partnership or company?
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If YES, please complete the following information |
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Business name
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Business name: You may not enter angle brackets
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Type of Business (e.g. company/partnership)
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Business type: You may not enter angle brackets
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Your position in the business (e.g. director/partner/manager)
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Position in business: You may not enter angle brackets
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Business address (if different from above)
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| Address |
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Business address 1: You may not enter angle brackets
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Business address 2: You may not enter angle brackets
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Business address 3: You may not enter angle brackets
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Business address 4: You may not enter angle brackets
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| Postcode |
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Business postcode: You may not enter angle brackets
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Are you, the partnership or your company owed any money by the company in which the (bankrupt / disqualified) director is involved?
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If YES, how much?
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How much: You may not enter angle brackets
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Were any representations made by the bankrupt / disqualified director in order to obtain credit, either by writing or verbally?
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Were any representations made: You may not enter angle brackets
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If either you, your partnership or your company are not a creditor, how has information that an undischarged bankrupt/disqualified individual is involved in the management of
a limited company been brought to your attention?
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How has information been brought to your attention: You may not enter angle brackets
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What are your reasons for believing that the individual has taken part in the company's management or otherwise directed its affairs?
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What are your reasons: You may not enter angle brackets
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Are you in possession of any letters or other documents signed by or on behalf of the bankrupt/disqualified individual in connection with the company's affairs?
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Are you aware of any other persons who can support what you have to say? If yes please supply their details
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First name
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Other person first name: You may not enter angle brackets
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Last name
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Other person last name: You may not enter angle brackets
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Address
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Other person address 1: You may not enter angle brackets
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Other person address 2: You may not enter angle brackets
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Other person address 3: You may not enter angle brackets
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Other person address 4: You may not enter angle brackets
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| Postcode |
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Other person postcode: You may not enter angle brackets
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About you
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You are able to submit your complaint anonymously, however if you do so, we will not be able to contact you if further information is needed.
If you provide your email address, a copy of your complaint will be forwarded to you on submission.
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Please provide your full name and address, telephone number and email
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First name *
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Your first name: You may not enter angle brackets
Your first name is required
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Last name *
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Your last name: You may not enter angle brackets
Your last name is required
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Address *
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Your address 1: You may not enter angle brackets
Your address is required
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Your address 2: You may not enter angle brackets
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Your address 3: You may not enter angle brackets
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Your address 4: You may not enter angle brackets
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Postcode *
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Your postcode: You may not enter angle brackets
Your postcode is required
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Email *
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Your email is required
Invalid Email Format
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Telephone *
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Your telephone: You may not enter angle brackets
Your telephone is required
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In the event that the matter leads to legal proceedings for prosecution, would you be prepared to act as a witness, possibly including appearance in court to give evidence? *
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Would you be prepared to act as a witness is required
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If you would like to attach any electronic documents in support of this form please use the Choose File buttons below.
Each file must be one of the following doc, docx, xls, xlsx, txt, pdf, png, jpg, jpeg, odt and the size of each file must not exceed 3MB in size.
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| File 1 |
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File 1 is too large (max 3MB) |
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File 1 is not an approved file type |
File 2 |
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File 2 is too large (max 3MB) |
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File 2 is not an approved file type |
File 3 |
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File 3 is too large (max 3MB) |
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File 3 is not an approved file type |
File 4 |
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File 4 is too large (max 3MB) |
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File 4 is not an approved file type |
File 5 |
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File 5 is too large (max 3MB) |
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File 5 is not an approved file type |
Please use this space to supply any further information
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Further information: You may not enter angle brackets
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