NCUC Public Staff Complaint Form Submitted by digital-admin on Tue, 10/08/2019 - 16:33 Indicates required field Before You Call or Submit a Complaint Form You must attempt to resolve the problem directly with the utility. You must be the account holder or legal representative. Have your billing statement and other relevant documents handy. When calling, arrange to be available for 2-3 hours after you call, (although it may not take that long for us to contact you). Please Note... Complaints about municipal utility systems (Town of... City of... or County), please contact your local government (Mayor, City Manager or District Representative) or State Legislature. Complaints about broadband, internet providers, bundled package plans, cable or satellite television providers, wireless phone providers, or propane providers can be addressed to the NC Attorney General's Office by dialing 1-877-5-NO-SCAM (1-877-566-7226) or 919-716-6000. You can also email your complaint to the NC Attorney General's office by emailing consumer@ncdoj.gov. Complaints about electric membership corporations or telephone membership corporations should be addressed to the Rural Electrification Authority at 919-814-4696. NORTH CAROLINA UTILITIES COMMISSION - PUBLIC STAFF Utility, Slamming, and Transportation complaint forms 1. Have you contacted the company? - Select -YesNo 2. Please choose your form: Utility (electric, water, telephone, natural gas) Slamming (unauthorized switching of your local or long distance phone carrier) Transportation (Moving Company, Ferry or Bus) Utility Fieldset North Carolina Utilities Commission Utility Complaint Form **If your services are in danger of disconnection, please call (919) 733-9277 or (866) 380-9816 for immediate assistance, Monday through Friday, 8:00 a.m. to 5:00 p.m.** Date: Industry: - Select -ElectricNatural GasTelephoneWater Utility Company Name: Name Appearing on Billing Statement: Are you authorized on the account? - Select -YesNo Name of Complainant: Service Address Service Address Service Address 2 Service Address City/Town Service Address State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Service Address ZIP/Postal Code Service Address County If your mailing address if different from the service address, please include it below *** Mailing Address *** Mailing Address 2 *** Mailing Address City/Town *** Mailing Address State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming *** Mailing Address ZIP/Postal Code Primary Phone #: Secondary Phone #: Email Address: If telephone company, list phone number experiencing problem: Description of your complaint: Company's response to complaint: Desired resolution: Additional comments: Slamming Fieldset North Carolina Utilities Commission Slamming Complaint Form (Slamming is the unauthorized switching of your local or long distance telephone service.) Please Note: Copies of any documents pertaining to this allegation should be emailed (preferred) or mailed to the Public Staff section of the NCUC (see bottom of form). Please include your name and the date of this form. Date: Account Type: - Select -ResidentalBusiness Contact name (as it appears on the statement): Business Name Slamming address Street Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Daytime Phone: After hours phone: Email Address: Type of service converted: - Select -LocalLong Distance local Name of your authorized phone company (local): Phone number that was slammed: Date service was switched: long distance Name of your authorized phone company (long distance): Phone number that was slammed: Date service was switched: Statement of Facts: A complete statement of the facts including whether or not you have paid any of the disputed charges and the specific relief that you want. Consumer Services Division 4326 Mail Service Center Raleigh, NC 27699-4326 consumer.services@psncuc.nc.gov Phone: 919-733-9277 Toll Free: 866-380-9816 Fax: 919-733-4744 Transportation Fieldset North Carolina Utilities Commission Moving Companies Complaint Form Date: Name of Complainant: Name of Shipper/Company (if different): Name of Moving Company: Name of Company Rep familiar with situation: City moved from: City moved to: Primary Contact Number: Second contact number: Email Address Please select the moving documents from the list below that you will be providing to our office (choose all that apply) Bill of Lading Addendum to the Uniform Household Goods Bill of Lading Estimated Cost of Services Form (if you received a written estimate) Emails or other correspondence with moving company representatives Company's response to complaint: Desired resolution: Additional comments: North Carolina Utilities Commission Public Staff - Consumer Services Division 4326 Mail Service Center Raleigh, NC 27699-4326 Fax: 919-733-4744 transportation@psncuc.nc.gov Stop Here Contact the company and gather any documents that may be required before submitting this form online. Customer Service Numbers for Utility Companies
