Consumer Complaint Form - NCC Consumer Portal

Complaint Form

Have you contacted your service provider and are not satisfied?✱

Yes

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Date of First Complaint

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Complaint Ticket ID Number

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Service Provider✱

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Other Service Provider✱

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Mobile Phone Number✱

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Type of Complaint

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Other Complaint Type✱

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What would you like NCC to do?✱

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Title✱

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First Name✱

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Last Name✱

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City/Town✱

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State✱

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Email Address✱

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Subject

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Details of Complaint✱

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