Consumer Complaint 2025 - 462
This form contains 3 pages. You have to fill all pages. Complaint details are to be filled on the last page. Try to give as much useful information as possible. Leave the field blank if you don't have any information for that field. Please write the information precisely and carefully. You can prepare the information before hand, to cut & paste that in the relevant fields. YOU CANNOT RETURN TO THE PREVIOUS PAGE ONCE YOU CLICK ON THE NEXT BUTTON TO MOVE TO THE NEXT PAGE. So, please fill all the details before proceeding to the next page. After filling the form you will receive an email with complaint number, copy of the details you have filled, and the instructions to pay the fee for sending notice to the opposite party.
Salutation
*
Mr
Mrs
Miss
Complainant's Name
*
First Name
Last Name
Complainant's Email id
*
example@example.com
Complainant's Cell No
*
10 digit number in India.
Complainant's Address
*
Line 1
Line 2
City
Pin code
Pin Code
Name, address, email id, cell no of additional complainants
Complaint category
*
Builder
Shopping
Housing Society
Banking
Finance Co
Insurance
Medical
Education
Travel & Transport
Hotel & Restaurant
Other
Name of the First Opposite Party
Email of the First Opposite Party
*
example@example.com
Phone Number of the First Opposite Party
Please enter a valid phone number.
Address of the First Opposite Party
*
Street Address
Street Address Line 2
City
State / Province
Pin Code
Name, address, email, and phone of additional Opposite Parties
Complaint regarding your flat no (with address)
Total amount paid to the builder till date
Possession date promised
-
Day
-
Month
Year
Date
Possession date promised by
Agreement for sale
Email
Letter
Verbally
Other
Above document dated
Showing possession date
Possession taken
Yes
No
Flat not ready
Flat not constructed yet
Other
Possession taken on
-
Day
-
Month
Year
Date
Sale deed dated
Cost of the flat
*
Less than Rs 1 Crore
Rs 1 Crore upto Rs 1.5 Crore
Rs 1.5 Crore upto Rs 2 Crore
Rs 2 Crore uoto Rs 2.5 Crore
Rs 2.5 Crore upto Rs 3 Crore
Rs 3 Crore upto Rs 4 Crore
Above Rs 4 Crore
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Value of product
*
Below Rs 2000
Rs 2001 to Rs 4000
Rs 4001 to Rs 6,000
Rs 6,001 to Rs 10,000
Rs 10,001 to Rs 20,000
Rs 20,001 to Rs 50,000
Rs 50,001 to Rs 1,00,000
Rs 1,00,001 to Rs 1,50,000
Rs 1,50,001 to Rs 2,00,000
Rs 2,00,001 and above
Amount paid for product & services
*
Rs 1 to Rs 20,000
Rs 20,001 to Rs 50,000
Rs 50,001 to Rs 1,00,000
Rs 1,00,001 to Rs 2,00,000
Rs 2,00,001 to Rs 4,00,000
Rs 4,00,001 and above
Fees paid
*
Rs 1 to Rs 5,000
Rs 5,001 to Rs 10,000
Rs 10,001 to Rs 20,000
Rs 20,001 to Rs 40,000
Rs 40,001 to Rs 70,000
Rs 70,001 to Rs 1,00,000
Rs 1,00,001 to Rs 1,50,000
Rs 1,50,001 to Rs 2,00,000
Above Rs 2,00,000
Total Room charges
*
Below 2000
Rs 2,001 to Rs 3,500
Rs 3,501 to Rs 5,000
Rs 5,001 to Rs 7,000
Rs 7,001 to Rs 10,000
Rs 10,001 to Rs 15,000
Rs 15,001 to Rs 20,000
Rs 20,001 and above
Booked through which agent?
Stayed for how many days
Total charged for food
Bought from
Amazon
Flipkart
Meesho
Myntra
Local shop
Other
Product / Scheme name
Model no of the product
Cost of the product
Invoice No
Invoice dated
-
Day
-
Month
Year
Date
Invoice amount
Order no
*
Order dated
*
-
Day
-
Month
Year
Date
Passenger ticket No
Travel date
-
Day
-
Month
Year
Date
Your complaint is related to
*
Defective product
Defective services
Seeking refund
Seeking replacement
Removing defect
Seeking compensation
Other
Name and address of the housing society
*
Salutation
Mr
Mrs
Miss
Name of Chairman
First Name
Last Name
Email of Chairman
*
example@example.com
Salutation
Mr
Mrs
Miss
Name of Secretary
First Name
Last Name
Email of Secretary
example@example.com
Your flat no in this society
In the concerned society, I am the
Flat / Shop owner
Tenant
Amount paid for the product till now
Officer contacted for resolution
First Name
Last Name
Designation of that officer
Mode of travel
Flight
Train
Bus
Taxi
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Amount paid for the services till now
Insurance policy name
Insurance policy certificate no
Policy dated
Initial amount paid for policy
Premium amount paid till now
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Complaint Summary
Complaint with date wise events
*
Amount of refund required
Amount of compensation required
Replacement of product required
Yes
No
Let ICRPC decide
Any other information you wish to provide
Resolution (relief) required
*
Fee applicable
Input not allowed here
Fee paid to ICRPC
*
Amount of fee paid to ICRPC
Have you paid the above fee by UPI to 8369936626@upi
*
Yes. I have paid
I have not paid and want to exit from this form
UPI payment reference number
*
PLESE DO NOT GIVE WRONG OR FAKE REF NUMBER
Date of payment of fee
*
-
Day
-
Month
Year
Date of payment of fee to ICRPC
I have sent the screenshot of fee payment to paidfee@icrpc.org and I know that without this my form will get rejected.
Yes I have sent
I will send after submitting this form
Submit
Should be Empty: