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Annexure-I Consumer Redressal Forum Complaint Format

This document provides a complaint format for consumers to file grievances with the Consumer Redressal Forum. The 3-sentence summary is: The format allows consumers to provide details of their complaint regarding issues like new or existing service connections, quality of power supply, discourtesy of licensee employees, denial of information or delays. Complainants must provide their contact information and sign the form, while noting they will not face harassment for filing the complaint.

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JOTHIVELU M R
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74 views2 pages

Annexure-I Consumer Redressal Forum Complaint Format

This document provides a complaint format for consumers to file grievances with the Consumer Redressal Forum. The 3-sentence summary is: The format allows consumers to provide details of their complaint regarding issues like new or existing service connections, quality of power supply, discourtesy of licensee employees, denial of information or delays. Complainants must provide their contact information and sign the form, while noting they will not face harassment for filing the complaint.

Uploaded by

JOTHIVELU M R
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ANNEXURE-I

CONSUMER REDRESSAL FORUM


COMPLAINT FORMAT
(Please tick (√) in the box whichever is applicable) DATE:

1) SERVICE CONNECTION RELATED

i) For New Service: Date of Application LT HT

Domestic Commercial Industrial Agriculture Others

ii) For existing service:


Service Connection No:

Replacement of Meter Problems Meter Capacity


Service lines Enhancement

Additional Load Conversion to Shifting of Service


3 Phase

Name Transfer Tariff Change Billing Problems

Deficiency in Other Complaints


Services

Date of representation

Date of payment made if any

iii) Quality of power supply

Low Voltage Voltage Fluctuation Frequent Supply


Interruption

From (Date) From (Time) To (Date) To (Time)

Address of the location of the existing / proposed service connection (common to all complaints)

2) OTHER COMPLAINTS
I) Discourtesy
II) Denial of requisite
Information
III) Wanton delay on account of

Registration of application Acceptance of payment

Fixing of meter Effecting service connection

iv) Demand / Acceptance of bribe

Date Time Place

LICENSEE’S EMPLOYEE AGAINST WHOM COMPLAINT IS MADE


(for more than one person fill in separate form)

Name

Designation

Office
Address

Descriptive details of the (Add sheets if required)


Complaint (common to all complaints)

3) COMPLAINANTS DETAILS
Name and Address Telephone No

Email ID

Signature of the Complainant

Note: i) Send separate sheets if necessary to cover the details of complaint


ii) Complainant will be assured that there will be no harassment for giving this complaint
iii) Complete postal address of the complainant is essential for taking action

FOR OFFICE USE

Grievance No Name of Data Entry Operator

Date of receipt

Division
Signature

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