Complaint Form Please read Complaints Procedures first... Consumer Information Form Consumer Information Name/Contact Required E-Mail Required Phone (Day Time) Home Work Cellular Required Phone (Alternative) Home Work Cellular Customer/Organisation (If different from Name/Contact) Mailing Address Street Village Town/City Service Address (If different from Mailing Address) Street Village Town/City Service Provider Information Service Provider Provider... T&TEC WASA Account Nature of Complaint Have you reported this complaint to the Service Provider? Yes Required RIC can only process complaints that have been first filed with the Service Provider as specified in section 53:4 of the RIC Act. When was the report made? Year 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 When... 1-3 Months 4-6 Months 7-9 Months 10-12 Months Over AYear (if you cannot specify) Have you reported this complaint to any of the following? Member of Parliament Ministry of Consumer Affairs Relevant Ministries Office of the Ombudsman
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