TEO

ONLINE COMPLAINT FORM

1. Please supply your contact details

Name:
Email:
Address:
Post Code:
State:
Country:
Telephone:
Mobile:
Facsimile:


2. Your Complaint
Name of the Organisation you wish to complain about:

Please be as specific as possible and ensure that you provide details of events leading up to the action you are complaining about: provide relevant dates: and give the names of the people you contacted.
Type details here.

Have you contacted the supplier yourself to try and resolve the complaint?
	Yes No

If yes, what happened?

What do you hope to achieve by making a complaint?


How did you hear about the Enery Ombudsman's Office?
	TV Radio Newspaper Brochure Word of Mouth Other Other? Please specify

Before you send the form to us make sure you have put in your Name and Contact Details at the top of the form.

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The URL for this page is: http://www.energyombudsman.tas.gov.au/complaint_form.htm This page was last modified on 12 February, 2005
Produced by The Electricity Ombudsman, GPO Box 960, Hobart 7001 Phone (03) 6233 6217
For queries about the content of this page, please contact energy.ombudsman@justice.tas.gov.au
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