Employment application
1 Complaint Form 1. Before you submit the complaint form, please make sure you reach out to the utility you have the dispute with to allow them to rectify the problem. 2. Submit a copy of all letters, receipts, or any other documentation that may support your claim. Please note that as a part of the complaint handling process, the Public Services Commission (PSC) may forward a copy of this complaint to the utility complained against. ____ St. Croix ____ St. Thomas ____ St. John Customer Information Customer Name (as indicated on account): Date: Name of Authorized Complainant if different than above: Physical Address: Location of the complaint Apartment/Unit # City State ZIP Code Phone: Email Is this service for your home or business: Name of Utility: Account Number: Mailing Address: Briefly describe your complaint. Indicate specific details, i.e., dates, names, and occurrences. …
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1 Complaint Form 1. Before you submit the complaint form, please make sure you reach out to the utility you have the dispute with to allow them to rectify the problem. 2. Submit a copy of all letters, receipts, or any other documentation that may support your claim. Please note that as a part of the complaint handling process, the Public Services Commission (PSC) may forward a copy of this complaint to the utility complained against. ____ St. Croix ____ St. Thomas ____ St. John Customer Information Customer Name (as indicated on account): Date: Name of Authorized Complainant if different than above: Physical Address: Location of the complaint Apartment/Unit # City State ZIP Code Phone: Email Is this service for your home or business: Name of Utility: Account Number: Mailing Address: Briefly describe your complaint. Indicate specific details, i.e., dates, names, and occurrences. GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS PUBLIC SERVICES COMMISSION FOR OFFICIAL USE ONLY PSC COMPLAINT NO.: ____________________ RECEIVED BY: __________________________ DATE RECEIVED: ________________________