New Complaint Form
New Complaint Form
Limited
Customer Service Center
COMPLAINTS
SC No……………………………………/ CSC No …..………………….……………………./ Date …………………………………...
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BILLING COMPLAINTS
[ ] Additional Charges Dispute [ ] Late Bill Receipt [ ] Wrong Billing Request
[ ] Back Billing Dispute [ ] Meter Reading Not Taken [ ]Bill Correction Request
O & M COMPLAINTS
CONSUMER STATEMENT:
Signature of Consumer
Signature of Signature
Signature
of Consumer
of Consumer