PSC CONSUMER COMPLAINT FORM

---

Any time you have a problem with the utility services you receive, first contact the utility directly and provide the Customer Service Representative with all the necessary information. Your problem will be handled more quickly and more effectively by providing a thorough explanation. If your problem concerns a bill for services, it is very important that you contact the utility immediately. If you believe you have been overcharged, discuss the bill with a representative promptly, and ask to have the charges investigated. If there is a good faith dispute, your service cannot be terminated during the investigation.

If the resolution to your problem or complaint offered by the company is unreasonable or you believe it to be at odds with the company's tariff, contact the Commission for assistance or complete and submit the form below. If you are unable to submit the form below online, you may print the form and submit it to the Commission. Upon receipt of your complaint, one of the PSC's complaint investigators will work as a liaison between you and the utility to resolve any outstanding issues. At that juncture, if you are still not satisfied that your complaint has been addressed, you can file a formal complaint with the PSC.

FIRST NAME:
MIDDLE INITIAL:
LAST NAME:
E-MAIL ADDRESS:
BUSINESS NAME (if applicable):
STREET ADDRESS (location of complaint):
CITY:
STATE:
ZIP CODE:
DAY PHONE (this is the number at which we will attempt to contact you):
EVENING PHONE:
ALTERNATE PHONE:
ALTERNATE PHONE TYPE (mobile, fax, etc.):
NAME OF UTILITY:
UTILITY ACCOUNT NUMBER:
SUBJECT TO DISCONNECTION?	YES NO
IF YES, WHAT DATE?
HAS UTILITY BEEN CONTACTED?	YES NO
IF YES, UTILITY CONTACT NAME:
COMPLAINT DETAILS:
RESPONSE FROM UTILITY (if applicable):

OR

Last Updated: Wednesday, 08-May-2013 07:54:26 EDT