| If you prefer to download the complaint form, click here |
* designates required field |
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| Customer Contact Information (The name on your bill or account) |
| * Customer Name: |
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* Phone Number: |
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| * E-Mail Address: |
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| Service Address |
| * Street: |
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* City: |
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| * State: |
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* Zip: |
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| Utility of your Complaint |
| * Utility Name: |
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Account Number: |
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| If your complaint involves a termination of service please complete |
| Is your service currently on? |
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If your service is off, when was it turned off? |
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| How much money is the utility requiring to restore service? |
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If your service is on, do you have a turnoff notice? |
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If you are requesting an extension on a turnoff notice,
When can you make the payment:
and how much can you pay
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| Your Complaint |
* Complaint:
(Be sure to indicate specific dates and people you've talked to at the utility about this complaint.) |
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| Please submit relevant documentation such as copies of the bill(s) in dispute, cancelled checks, copy of your policy, receipts, etc. |
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| If you prefer, you may send additional documentation via email: crd.complaints@state.nm.us or via fax: 505-827-4523 |
Suggested Resolution:
(What do you think the utility should do to make this situation right?) |
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| Supporting Documents |
The information provided on and with
this form is true and correct to the best of my knowledge and belief.
I am enclosing copies of any correspondence or other documentation
in my possession that may be of assistance.
It is very important to make sure that
we receive your submission properly. When
your form submission is completed correctly,
you will receive a page with your form
submission information.
If you do not receive this page, and instead
encounter an error page, please read it carefully, go back on your browser, correct your submission, and resubmit. If you have any questions, whatsoever, please contact us here. |
