California Code of Regulations › Title 20 - Public Utilities and Energy › Division 1 - Public Utilities Commission › Chapter 1 - Rules of Practice and Procedure › Article 18 - Forms › No. 2 - Complaint

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(See Articles 1 and 4)
BEFORE THE PUBLIC UTILITIES COMMISSION OF THE STATE
					 OF CALIFORNIA
(B)
________________________
)
CASE_)___________________________
___________________________
)
(for Commission use only)
___________________________
)
(A) Have you tried to resolve this matter
___________________________
)
informally with the Commission's Consumer
___________________________
)
Affairs staff?
(Fill in Complainant (s) name)
___________________________ /
___________________________
vs.
YES
NO
)
Has staff responded to
							 your complaint?
(C)
_______________________
)
___________________________
							 /
___________________________
___________________________
)
YES
NO
___________________________
)
Did you appeal to the Consumer Affairs Manager?
___________________________
)
___________________________
							 /
___________________________
___________________________
)
YES
NO
(Fill in Defendant (s) name)
Do you have money on deposit with the
Commission?
___________________________
							 /
___________________________ /
$_________________________
YES
NO
AMOUNT
Is your service now
							 disconnected?
___________________________
							 /
___________________________
YES
NO
___________________________
COMPLAINT
(D)
The complaint of
					 ___________________________
(Insert exact legal name, mailing address and telephone
					 number of each complainant)
___________________________
___________________________
respectfully shows that:
___________________________
(E)
1. Defendant(s)
(Insert full name and address of each defendant)
___________________________
___________________________
(F)
2. Explain fully and clearly the details
					 of your complaint. (Attach additional pages if necessary)
___________________________
___________________________
___________________________
___________________________
___________________________
(G)
3. Scoping Memo Information
(a) The proposed category for the Complaint is (check
					 one):
[] adjudicatory
[] ratesetting (if the complaint challenges the
					 reasonableness of a rate)
(b) Are hearings needed? YES NO
(c) The issues to be considered are:
___________________________
___________________________
___________________________
___________________________
___________________________
(d) The proposed schedule for resolving the complaint
					 within 12 months (if categorized as adjudicatory) or 18 months (if categorized
					 as ratesetting) is as follows:
Prehearing Conference: 30 to 40 days from the date of
					 filing of the Complaint.
Hearing: 50 to 70 days from the date of filing of the
					 Complaint.
Explain here if you propose a schedule different from the
					 above guidelines.
___________________________
___________________________
___________________________
___________________________
___________________________
(H)
Wherefore, complainant(s) request(s) an
					 order: State clearly the exact relief desired. (Attach additional pages if
					 necessary)
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
(I) OPTIONAL:
I/we would like to receive the
					 answer and other filings of the defendant(s) and information and notices from
					 the Commission by electronic mail (e-mail). My/our e-mail address(es)
					 is/are:
_ .___________________________
(J)
Dated
					 ______________________________(city), California, this __________(date) day of
					 ____________________(month), 20_____(year)
___________________________
(Signature of each complainant)
___________________________
___________________________
___________________________
Signature, address, telephone number, facsimile
							 transmission number, and, if the representative consents to e-mail service, the
							 e-mail address, of representative, if any)
___________________________
___________________________
___________________________
___________________________
VERIFICATION
(For Individuals or Partnerships)
I am (one of) the complainant(s) in the above-entitled
					 matter; the statements in the foregoing document are true of my knowledge,
					 except as to matters which are therein stated on information and belief, and as
					 to those matters, I believe them to be true.
I declare under penalty of perjury that the foregoing is
					 true and correct.
(K)
Executed on ____________________(date), at
					 ______________________________(city), California.
(If more than one complainant, only one need
					 sign)______________________________(Complainant)
___________________________
VERIFICATION
(For a Corporation)
I an an officer of the complaining corporation herein, and
					 am authorized to make this verification on its behalf. The statements in the
					 foregoing document are true of my own knowledge, except as to the matters which
					 are therein stated on information and belief, and as to those matters I believe
					 them to be true.
I declare under penalty of perjury that the foregoing is
					 true and correct.
(L)
Executed on ____________________(date), at
					 ______________________________(city), California.
(Signature and Title of Corporate
							 Officer)
___________________________
___________________________
___________________________
(M)
FILE the original complaint plus 6 copies,
					 plus 1 copy for each named defendant, with the Commission.
(N)
MAIL TO: California Public Utilities
					 Commission
Attn: Docket Office
505 Van Ness Avenue, Room 2001
San Francisco, CA 94102