HIMACHAL PRADESH STATE ELECTRICITY BOARD

FORM –V

FORM FOR LODGING COMPLAINT WITH NEXT HIGHER AUTHORITY IN CASE OF NON-REDRESSAL BY PRIMARY RESPONSIBILITY CENTRE

To be filled in by Consumer                                                          Sub Division :__________                      

Complaint Ref.No. of Primary                                                      Responsibility Centre  :__________

 

 

1.       Name & full address of consumer

 

 

2.       Consumer Account No.

3.       Nature of complaint

 

4.       Date of complaint

5.       Date/Time since the original complaint is pending at Primary Responsibility Centre

 

6.       Any other information

 

Signature of consumer

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

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

 

 

1.       Complaint Reference No. of next higher authority

 

2.       Name of consumer

3.       Consumer Account No.

Time:

 

4.       Received on date:

5.       Nature of complaint 

6.        Target date to resolve the complaint

Signature of Authorized Officer/Official:

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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