Complaint Form

SECTION A - YOU, THE CUSTOMER
Please complete your details in Section A if you have a problem with your energy or water company. If you are acting on behalf of someone else, then please complete their details in Section A, and enter your details in Section B
Title
First Name 
Surname 
Postal Address 
Suburb 
State 
Postcode 
Email address 
Please provide daytime and after hours contact numbers so we can talk to you about this complaint as soon as possible
Home Number
Work Number
Mobile Number
How would you like us to contact you?
Preferred Contact Method 
SECTION B - YOUR REPRESENTATIVE (OPTIONAL)
Please complete your details in Section A if you have a problem with your energy or water company. If you are acting on behalf of someone else, then please complete their details in Section A, and enter your details in Section B
Title
First Name 
Surname 
Postal Address 
Suburb 
State 
Postcode 
Email address 
Please provide daytime and after hours contact numbers so we can talk to you about this complaint as soon as possible
Home Number
Work Number
Mobile Number
How would you like us to contact you?
Preferred Contact Method 
SECTION C - THE COMPLAINT
If you have completed Section B and you are making this complaint on behalf of another person, please select 'Yes' otherwise please select 'No' 
Has your electricity / gas supply been disconnected, or has your water supply been restricted? 
Which company is the complaint about? 
What service is the complaint about? (Please note Dual Fuel Cases can only be accepted against Lumo Energy and TRUenergy) 
How many times have you or the customer spoken to the company about this issue? 
When did you / the customer last contact the provider about this issue?
Which Department did you / the customer last speak to about your problem?
Please briefly describe the complaint including an outline of any responses the provider has given so far 
What are you or the customer seeking to resolve this complaint?