Customer Information Form printable pdf download

Customer Information Form

Customer Complaint Settlement Scheme (CCSS)

for the Telecommunications Industry

Customer Information Form

Please provide the following information to the Office of the Communications Authority (OFCA),

OFCA will assess your case for acceptance under the CCSS.

Please submit the completed form to OFCA via fax number: 2180 9520; or email to:

ccss@ofca.gov.hk; or send to Office of the Communications Authority, 29/F, Wu Chung

House, 213 Queen’s Road East, Wan Chai, Hong Kong (Attn: CCSS Team).

*Name of Customer :

*Telephone Number :

Fax Number :

E-mail :

*Customer Type :

Individual / residential

(Applicable to individual /

residential customer only)

Telephone line service

*Type of Service :

Broadband internet access service

Mobile service

IDD / Calling card service

Bundled service (please specify ________________)

Others (please specify _______________________)

*Name of Account Holder :

Account Number / Registered

Telephone No. / Login ID :

Customer Information Form