File A Complaint

Please provide the information requested below (items marked with an asterisk (*) are required).  Use the TAB key to move from field to field. 

Section  1:  I am filing an complaint concerning:
*
I have a complaint against the company provides my telephone, energy (electric or gas) or water service.
I have a complaint about a safety issue (this includes safety of gas, electric, cable, phone and mobilehome park utilities, such a live wires dangling from power poles, gas leaks, etc.)