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ONLINE COMPLAINT FORM

Use this form to file an informal complaint against a utility within the State of Utah
Those items marked with * are required entries.

Utility Customer (The name on your bill or account)
* Customer Name:
If Business, Contact Person:
* Primary Phone:
Other Phone:
*E-Mail Address:
Service Address
* Street:
* City:
State:	UT
* Zip:
Mail Address
Street:
City:
State:
Zip:
Utility against which you are filing a complaint
* Utility Name:
* Your Account Number:
Your Complaint
* Complaint Type:	-SELECT- Additional Charges Billing Problems Cramming Customer Service Deposit Estimated Bill High Bill Initial Service Inquiry Line Extension Meter Problems/Reads Non-Regulated Outage Personnel Issue Rate & Tariff Rate Increases Repair Shut Off or Notices Slamming Tree Trim Voltage Other
* Complaint: (Be sure to indicate specific dates and people you've talked to at the utility about this complaint.)
Suggested Resolution:   (What do you think the utility should do to make this situation right?)