Doc # 282779 Page 1 of 2 PS-127
Complaints register form
Under the Building Act 2004, Clause 216(2)(E)(F)
Version: 7
Date: January 2020
Code: PS-127
COMPLAINANT DETAILS
Name:
Address:
Mailing address:
Contact details: Landline number: Mobile number:
Email address:
THE OWNER (who the complaint is about)
Name:
Contact person:
(only required if different from the
owner)
Site / location address:
(where issue has occurred)
Legal description: Lot: DP:
DETAILS OF COMPLAINT
Description of complaint: (must be relating to a building or building work as described within this complaints section)
Doc # 282779 Page 2 of 2 PS-127
COMPLAINANT TO COPMPLETE
Signed:
Name:
Date:
Email to: enquiry@timdc.govt.nz
click to sign
signature
click to edit
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