| Complaint Form |
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* = required |
| First Name of Complainant |
* |
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| Last Name of Complainant |
* |
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| Address of Complainant |
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| Contact Telephone # |
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| Type of Complainant |
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| Business Name: |
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| Business Add.: |
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| Business Telephone#: |
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| Name of Utility Company: |
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| Nature of problem: |
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| Account Number: |
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| Meter Number: |
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| Name of the Utility representative you spoke with and outcome of discussion. |
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| Email |
* |
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| Your Complaint Briefly |
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| Upload 1 |
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only accept files with extensions: doc|xls|pdf|jpg|jpeg|png|gif|zip|rar|gz |
| Upload 2 |
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only accept files with extensions: doc|xls|pdf|jpg|jpeg|png|gif|zip|rar|gz |
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