Fill out the complaint form, answering all of the questions completely. This guide explains the steps involved in filing a complaint with the New York State Department of Public Service about your regulated utility service.An Answer must be in writing and the entire caption, including the index number and an original signature is required. We will forward your complaint directly to this company and ask for a response. Please fill out the form below and click "Submit" at the bottom of the screen. Required fields are marked with an asterisk. How do I fill out the form? Instructions: Click inside the boxes and fill out all the necessary information. (c) Any written report documenting complaints of misconduct shall be in the form of an intra-Department memo and shall include steps taken to resolve the. If you have questions about this form, please contact the County Privacy Officer at (714) 834-4082.