District Cooling/ Billing Agent Complaint Form

First Name *

First Name Required

Last Name *

Last Name Required

Mobile *

Valid Mobile Number Required

Email *

Valid Email Address Required

Customer Account Number *

Customer Account Number Required

Select location of the building *

Location Required

About whom is your complaint? *

Permit Holder Required

Complaint Category *

فئة الشكوى مطلوبة

Complaint Type *

Complaint Type Required

Details of Complaint - please include specific data such as billing information in support of your case *

Complaint Details Required

Attachments *

Attachments Required

Details of your first interaction with the Service Provider, including your request and their response

First Complaint Date *

Valid First Raised Date required

Details of request and response *

Details of request and response required

Details of your Second interaction with the Service Provider, including your request and their response

Second Complaint Date *

Valid Second Raised Date required

Details of request and response *

Details of request and response required

Details of your Third interaction with the Service Provider, including your request and their response

Third Raised Date *

Valid Third Raised Date required

Details of request and response *

Details of request and response required

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