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Consumer Information Utility Complaint File An Informal Complaint Complaint Form

Water Complaint Form

Date: 5/26/2019

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* Required Field

Complaint Information

The Complaint Form information is essential for us to investigate your complaint. Please fill out all the required fields and provide us with as much detail as possible. For water quality issues - low pressure, unusual color, taste or smell - please contact Texas Commission on Environmental Quality (TCEQ) at 888-777-3186.

Complaint Form

Account Holder's Name

* First Name:

* Last Name:

Alternate Contact

* Alternate Contact Required if different from Account Holder

First Name:

Last Name:

Relationship To Account Holder:

* E-mail Address:

Please enter only one email address.

Service Address

Business:

* Address1:

Address2:

* City:

* State:

* Zip:

* County:

Mailing Address

* Mailing Address required if different from Service Address

Business:

Address1:

Address2:

City:

State:

Zip:

Contact Numbers

* Day:

(

)

Ext.

Evening:

(

)

Complaint Information

* Company Complaint Against:

* Account Number:

What type of complaint do you have?

Complaint Summary

Enter a brief summary of your complaint. This text can be up to 1500 characters; however if the browser remains inactive for more than twenty (20) minutes you may lose your work. You can save your work during this period if you wish by clicking on the "Save" button at the bottom of the form. When you have completed your summary, click on the "Save and Continue" button to move to the next step in the process which will allow you to upload any attachments along with your complaint.

The Complaint Summary can not be left blank.

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Upload Files

You can upload files to be attached to your complaint. There is a maximum size 20 mb for the total number files. For example, you can have one file that is 20 mb or 4 files that are 5 mb each. Relevant documents would be any documentation that supports the complaint, including copies of bills or terms of service documents. PDF files are preferred, but we can accept any format.

Would You like to Upload Files to support you complaint?

Files

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