HIMACHAL PRADESH STATE ELECTRICITY BOARD

FORM-III

FORM FOR LODGING COMPLAINT FOR DISCONNECTION AND RECONNECTION OF POWER/PROBLEMS IN METERING / DISCREPANCIES IN BILLS

(To be filled in by Consumer)                                                                                         Sub Division :_________

                                                                                                                      Complaint Ref. No._______

                                                                                                                                                                        (to be given by HPSEB) 

 Consumer Account No 

1.       Name & full address of the complainant

2.       Brief Description of complaint

3.       Date of complaint

4.       Any other information

Signature of 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)                        Date:          

2.          Applicant’s name

3.         Received on date

4.         Complaint received by

5.         Brief detail of complaint

6.         Information supplied/provided to consumer, if any

7.         Target date to resolve the complaint

Signature of Authorized Officer

Designation:

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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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