Consumer Complaint Submission Form

Consumer Complaint Submission Form

Date/Time*

Name*

Address*

Residential Phone

Business Phone

Alternate Contact Phone

Fax

Email*

Alternate Email

Name of Service Provider*

Detail description of Complaint*

Date on which problem occurred*

Have you contacted the company regarding your complaint*

Yes

No

If yes, who was the contact person

Any action taken by a company should be described in detail

Upload supporting documents

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Consumer Complaint Printed Form

Published in: Consumer Centre

More in this category:

QoS Reporting Portal