Utility (Electricity, Water, Gas) Customer Complaint Form (Page 2 of 2) in pdf

Previous contact

Where possible, please provide names and times of discussions held with RIA people:

_______________________________________________________________________

What was the result of your discussions?

Please provide details of the outcome or further course of action:

_______________________________________________________________________

Your expectation

Please indicate what you would like to see happen to resolve your complaint or improve our service in the future:

_______________________________________________________________________

Signature __________________________ Date ___________________________

Thank you for your valuable feedback. Please return this completed form by email to

or by post to Rottnest Island Authority, PO Box 693, Fremantle WA

6959.

We will provide you with a written acknowledgement within 10 working days. In the meantime, should you

have any further queries whilst your complaint is being processed, please do not hesitate to contact us on

9476 2000 (for businesses) or 9372 9731 (for visitors).

For RIA use only

Date received ________________________________ By ______________________________________

Acknowledgement _________________________

Reply __________________________________

Due date ________________________________

Due date _______________________________

Date sent ________________________________

Date sent _______________________________

Prepared by ______________________________

Prepared by _____________________________

In complaints register – name, date:

_______________________________________

Utility (Electricity, Water, Gas) Customer Complaint Form Page 2