FILE ONLINE CONSUMER COMPLAINT

File a complaint under Consumer Protection Act, 2019

Fill-in all the fields with correct information. After submission, you would receive a copy of this form by email with your complaint reference number. You can send this email print as cover letter with your complaint documents by courier. There is an option to upload your detailed complaint with documents at S No 15 in this form. So, prepare your file upload below 5 MB in pdf, doc or docx format beforehand to upload here, if you do not want to send documents by courier. You can get the bank details from payment@icrpc.org
1. Complainant's Name *

First Name Last Name
2. Complainant's City *
Your city of residence
3. Complainant's Email *
example@example.com
4. Complainant's Cell Number *
10 digit mobile phone number
5. Complainant's Full Address *

Address line 1

Address Line 2

City State

Pin Code
6. Opposite Party's (company's) Name
7. Opposite Party's (Company's) Registered Office address *

Address Line 1

Address Line 2

City State

Pin Code
8. Email of the Registered Office of the Opposite Party *
example@example.com
9. Phone number of the Opposite Party at Registered Office *
Example: 022-12345678 or 1234567890 (for landline or cell)
10. Address of dealer / service center with whom you dealt in your city (if any)

Address Line 1

Address Line 2

City State

Pin Code
11. Email of dealer / service center (if any)
example@example.com
12. Phone number of the dealer / service center
Example: 022-12345678 or 1234567890 (for landline or cell)
13. Netbanking transaction number for Rs 500 payment *
Download procedure document from www.icrpc.org to get bank details
14. Netbanking Transaction date *

Day Month Year
Please write correct details else your complaint would be rejected
15. Transaction through which bank? *
Write bank name through which you paid Rs 500
16. Write your complaint summary *
You can even upload your detailed complaint as an attached file (see S No 17)
17. Upload files (max 5 MB) in doc, docx format (saved in MS word)

Browse files on your computer
You can also send all the documents by courier with your complaint Cancel of
Date

Day Month Year
Date Hour Minutes AM/PM Option
Should be Empty:

File a complaint under Consumer Protection Act, 2019