Consumer Welfare Complaint Form

We are glad to receive your complaint, and will respond to you in due time. Please enter your details together with your complaint

Full Name of person making complaint

Name of person whose conduct is the subject of this complaint

(Provide a concise statement of the conduct that is the subject of the complaint including the dates on which the conduct occurred, and a statement indicating when and how you became aware of the conduct)

Please attach to this form any other relevant information.

Is the conduct continuing?


If not, when did the conduct end?

Name, address and title of the signatory