| Title |
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| First name (given name) |
|
| Last name (family name) |
|
| Street name & number |
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| Suburb |
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| State |
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| Postcode |
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Email address
Note: email is the best way for us to
respond to you about your complaint. We will also confirm
by email that you submitted your complaint successfully. |
|
Telephone contact numbers
Note: daytime and after hours
contact numbers are useful so we can talk with you about your
complaint if we need to.
|
Remember area codes |
| Do you need us to contact you by telephone interpreter,
TTY or in some other way? Note:
we will respond to you by email first, but this extra information
is useful if we need to call you. |
Please add details:
|
| How did you hear about the TIO? |
|
| What type of consumer are you? |
|
My complaint is about this type of telecommunications
service:
|
|
Service ID (i.e. service number, account number, user name):
Note:
if you do not have a Service ID, please call 1800 062 058 to lodge the complaint instead of completing this form. |
If telephone (landline, mobile, voip),
what is the telephone number, order number or account number?
If you do not have this information, enter the service address.
If internet, what is the user or logon
name, order number or account number? If you do not have
this information, enter the service address. |
| Are you the account holder? |
If No, please provide the account holder's name & contact
Do you have authority to contact us regarding this complaint ?
|
| Who is your service provider? i.e. the phone company
or ISP that billed you or that you have the complaint about.
Not sure? More
info |
|
| When did you first become aware of your complaint? |
|
| If you are disputing a bill, how much are you disputing? |
|
Home
| Consumer
| Make a Complaint
| Complaint form - Step 3
