Online Forms

Are you making a complaint on behalf of someone else?
Yes No

All fields with an * are mandatory

1

Advocate details

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Salutation

Advocate Address *

Enter address manually

Street Address

Select the address

Other Identifier (e.g. Level 5)

Type your address below

Street 1*

Street 2

State*

Suburb*

Can't find the correct suburb? Please choose an alternate suburb with the same post code and let us know via members@ewon.com.au

Please include area code.

If you require an interpreter, in what language?

Other language

2

Customer details

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Salutation

Customer Address *

Enter address manually

Street Address

Select the address

Other Identifier (e.g. Level 5)

Type your address below

Street 1*

Street 2

State*

Suburb*

Can't find the correct suburb? Please choose an alternate suburb with the same post code and let us know via members@ewon.com.au

We provide a telephone based service - please provide at least one contact number so we can call you during business hours.

Please include area code.

If you require an interpreter, in what language?

Other language

This information is collected for de-identified statistical reporting only and will not affect how we respond to your complaint. It may assist us in ensuring you are receiving eligible rebates/concessions.

Optional:

Do you receive any Centrelink benefits?

Yes

No

Do you live in Social Housing?

Yes

No

Are you an Aboriginal or Torres Straits Islander?

Yes

No

3

Details about the complaint

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Same as customer address? Yes No

Supply Address *

Enter address manually

Street Address

Select the address

Other Identifier (e.g. Level 5)

Type your address below

Street 1*

Street 2

State*

Suburb*

Can't find the correct suburb? Please choose an alternate suburb with the same post code and let us know via members@ewon.com.au

4

Describe the complaint

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We may refer your complaint to the provider's specialist dispute resolution team. If so, we will pass on your contact information so they can get in touch with you.

Describe your complaint. (Please provide up to ten key facts about your complaint and do not include confidential information)*

Does your complaint relate to a high bill? Yes No

Have you contacted your energy or water provider about this complaint? Yes No

What would you like your energy or water provider to do to resolve your complaint?*

5

Upload documents

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