Utility (Electricity, Water, Gas) Customer Complaint Form

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UTILITY (Electricity, Water, Gas) Customer Complaint Form
We strive to provide you with the highest level of service at all times. If this has not been the case, or if we
have not handled something to your satisfaction, please detail your concern below.
Your details
Title _________ First name _________________________ Surname _____________________________
Account holder’s name (if different from the above) ____________________________________________
Account number (if available) _____________________________________________________________
Account address _______________________________________________________________________
_____________________________________________________________________________________
Preferred contact phone number __________________________________________________________
Email address _________________________________________________________________________
Category
Please tick the box which best reflects the issue:
Billing and accounts
Electricity
Connection / Disconnection / Reconnection
Water
Marketing
Gas
Other matters
The issue
Please tell us clearly where we failed to meet your expectations. Add extra pages if necessary, and attach copies of relevant
documents such as letters, bills, etc.
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Please turn over …

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