F02 Complaints

HomeF02 Complaints

F02 Complaints

Complaints and record of drinking water complaints and concerns



Items marked * must be filled in.

1. Retailer details


2. Eligible premises and supply point details

Premises type

Warehouse

Factory

Agriculture

Shop

Holiday chalets

Hotel

Site accommodation

Office

Other

Meter fitted

Yes

No


3. Details of complaint or concern

Compensation or payment claimed

Guaranteed Service Standard (GSS) failure

Other

None

Please indicate if additional material is associated with this form and list the attachments



4. Consent to contact the Non-Household Customer

The Wholesaler may wish to contact the Non-Household Customer to arrange a visit to the premises. Please indicate whether you give consent for the Wholesaler to contact the Non-Household Customer directly to arrange a visit to the premises.

YesPlease provide contact details below

No

Customer contact details

Please indicate if you want to be notified of the date of any visit

Yes

No


5. Declaration

I hereby acknowledge and declare that the information provided in this form is correct to the best of my knowledge and up to date at the time of submission.

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