Customer Complaint Form

Items marked with an asterisk (*) are required fields. To better process your request, please fill in as many of the other fields as possible.

Because you have filed this complaint electronically, providing an email address for our response will speed up the process.

If this complaint is about individual telephone service, please be sure the telephone number is listed.

Customer Information:
*Name:
*Address:
*City:
*State:
*Zip Code:
E-mail Address:
Home Phone:
Work Phone:

*Utility Name:
Alliant (IP&L)	Citizens Telephone	MidAmerican Energy
American Water	Frontier	Sprint
AT&T	Liberty Energy (fka Atmos Energy)	Windstream (fka Iowa Telecom)
Black Hills Energy	MCI	Other:
CenturyLink (fka Qwest)	McLeod

Have you contacted the utility about the problem?	Yes No
If "yes" with whom did you speak?
Do you currently have working utility service?	Yes No

*General nature of your complaint: (check all that apply)
Billing	Delayed Installation	Deposit
Deregulated Services	Directory Error	Disconnection
Extended Area Service	Line Extension	Meter Reading
Payment Arrangement	Poor Customer Service	Rates/Charges
Repair	Service Problem	Switched Company
Unauthorized Charges	Other: (topic only)

*Describe your problem in detail: (Please be sure to include any dates, times, names of persons, or other details that will be helpful to our understanding the problem and seeking resolution.)

Please note: Information on this complaint form is subject to the Freedom of Information Act and will be open for public inspection.