HIMACHAL PRADESH STATE ELECTRICITY BOARD

FORM -II

FORM FOR LODGING COMPLAINT FOR INTERRUPTION/FAILURE OF POWER SUPPLY/LOW/HIGH VOLTAGE

To be filled in by Consumer                       Sub-Division _________Section          _________

Consumer Account No.                                                                                      Complaint Ref.No._____

                      (To be given by HPSEB)

1.       Name & full address of the consumer

2.       Brief description of complaint

3.       Date & time of lodging the complaint in the Complaint Centre

4.       Date of lodging the current complaint

5.       Any other information which the              

         consumer intends to add

Signature of the Complainant/Consumer

Tear off (To be perforated) …………………………………………………………………………………………………………

ACKNOWLEDGEMENT TO BE FILLED IN BY THE HPSEB AND HANDED OVER TO THE CONSUMER

1.       Complaint Ref. No.                  

        (to be given by the HPSEB)

2.       Applicant’s name                           

3.       Consumer A/C No

4.       Received on date

5.       Complaint received by

6.       Brief detail of complaint

7.       Target date to resolve the complaint

Signature of Authorised Officer

Designation:

SEAL:

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( Any Page of the report can also be visited directly by typing www.hpseb.com/CX.htm in Address Bar, where XX is actual page number eg. www.hpseb.com/C1.htm ) 

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