name address telephone email address Energy type Gas / electricity i have esb networks go power □ □ completed the gas networks ireland just energy □ □ complaints be energy panda power □ □ process of: bord gáis energy pinergy □ □ electric ireland prepaypower □ □ energia sse airtricity □ flogas natural Gas vayu □ COMPLAINT REFERENCE NUMBER* * The number issued by your supplier or network operator in relation to your complaint. Please note: the CRU cannot handle your complaint until you have completed their complaint process. Account Number MPRN or GPRN My complaint is bills high consumption □ □ about charges reading □ □ customer service opening/closing account □ □ deposit payment methods □ □ disconnection switching □ □ faulty meter other: □ □ Signed by Complainant I confirm that this represents my complaint to the CRU. I confirm that I have completed my supplier or network operator’s complaints handling process. I that a copy of my complaint and copies of any accompanying or additional correspondence or documentation submitted to the CRU in relation to my complaint may be provided to relevant organisations for the purpose of carrying out an investigation, including the body against which I am complaining. I agree that as part of their investigation into my complaint, the CRU may request any records and information relating to my account from the relevant supplier or network operator. Signature: Date:
name address telephone email address Energy type Gas / electricity i have completed the complaints process of: esb networks gas networks ireland be energy bord gáis energy electric ireland energia flogas natural Gas □ □ □ □ □ □ □ go power just energy panda power pinergy prepaypower sse airtricity vayu □ □ □ □ □ COMPLAINT REFERENCE NUMBER* * The number issued by your supplier or network operator in relation to your complaint. Please note: the CRU cannot handle your complaint until you have completed their complaint process. Account Number MPRN or GPRN My complaint is about bills charges customer service deposit disconnection faulty meter □ □ □ □ □ □ high consumption reading opening/closing account payment methods switching other: □ □ □ □ □ □ Signed by Complainant I confirm that this represents my complaint to the CRU. I confirm that I have completed my supplier or network operator’s complaints handling process. I that a copy of my complaint and copies of any accompanying or additional correspondence or documentation submitted to the CRU in relation to my complaint may be provided to relevant organisations for the purpose of carrying out an investigation, including the body against which I am complaining. I agree that as part of their investigation into my complaint, the CRU may request any records and information relating to my account from the relevant supplier or network operator. Signature: Date: