You can use this form to make a complaint about any registered or unregistered person carrying out prescribed
electrical work as dened in the Electricity Act 1992. See the back of this form for additional information.
PART 1: YOUR DETAILS
Title   Mr   Mrs   Miss   Ms   Other 
First Name   Last Name 
Company Name (if applicable) 
Street Address
  
Postcode 
Postal Address (if dierent from above)
  
Postcode 
Daytime phone   Mobile  
Email
PART 2: DETAILS OF THE PERSON YOU ARE COMPLAINING ABOUT
Title   Mr   Mrs   Miss   Ms   Other 
First Name   Last Name 
Electrical Worker Registration Number (if known) 
Company Name (if applicable) 
Street Address
  
Postcode 
Postal Address (if dierent from above)
  
Postcode 
Daytime phone   Mobile  
Email
PART 3: THE WORK BEING COMPLAINED ABOUT
The work complained of was done at:
Street address:
  
Postcode 
Contact person for property
Are you the owner or the occupant of the property?  Owner  Occupant  Neither
Daytime phone
  Mobile  
Email
When was the work complained about done? Start date:  / /
End date:  / /
What date was the work found to be unsatisfactory? / /
Did you receive a Certicate of Compliance? Yes  No If yes, what date did you receive it?  / /
(If yes, please provide a copy)
Please read before completing this form:
You must provide enough information to enable the complaint tobeinvestigated.
Disputes regarding billing (e.g. overcharging), customer service or othercommercial
matters CANNOT be considered by the EWRB
Please send the completed form and attachments to:
ewrb@mbie.govt.nz
Or post to: Electrical Workers Registration Board
PO Box 1473
Wellington 6140
Electrical Work
Complaint
3691 04/18
3.1
PART 4: DETAILS OF THE COMPLAINT
Please provide as much detail as possible about the electrical work you are complaining about. Additional information such as photographs or
documents must be clearly labelled and attached to the end of this form.
Attach additional sheets if necessary
PART 5: WITNESSES
PART 6: ADDITIONAL PAGES ATTACHED TO THIS FORM
Title   Mr   Mrs   Miss   Ms   Other 
First Name   Last Name 
Electrical Worker Registration Number (if applicable) 
Company Name (if applicable) 
Street Address
  
Postcode 
Postal Address (if dierent from above)
  
Postcode 
Daytime phone   Mobile  
Email
A witness is anyone (other than you) who observed the work being carried out and/or realised the nished work was unsatisfactory.
If there was more than one witness, please attach their details.
Type of attachment Number of pages:
eg. Photographs of the work
eg. 10
7. DECLARATION
1. All information you provide will be subject to public release. If we (the EWRB) receive a request for this material we will be required to consider
its release, in whole or in part, in terms of the criteria set out in the Ocial Information Act 1982. The Act requires us to make the information
available unless: (i) we consider that there is good reason, under the Act, to withhold the information; and (ii) that good reason outweighs
the desirability, in the public interest, of making the information available. The grounds for withholding information are set out in the Ocial
Information Act 1982.
2. Please advise the Registrar if you have any objection to the release of any materials and, if you do object, the specic material that you
wouldwish to be withheld, and the grounds for withholding. The EWRB will carefully review any representations that you make in this regard
inconsidering any requests that might be received for release of this material. You should note, however, that the decision to release rests
withthe EWRB. Any decision to withhold information is subject to appeal to the Ombudsman.
I agree to all documentation relating to this complaint being released to all parties involved.
Signature Date / /
click to sign
signature
click to edit
Please return this form: ewrb@mbie.govt.nz or
Electrical Workers Registration Board,
PO Box 10156, Wellington 6143, New Zealand
For more help, call our helpline on 0800 661 000 between 8 am and 5 pm Monday to Friday
or email info@ewrb.govt.nz.
MAKING A COMPLAINT
Who can you make a formal complaint about?
You can make a complaint about an authorised electrical worker, when a disciplinary oence has occurred. An authorised electrical worker is
onewho is registered and/or licensed.
You can also make a complaint about a person who is not registered and/or licensed to do prescribed electrical work. Prescribed electrical work
isdened in the Electricity Act 1992.
What can you make a formal complaint about?
You can make a complaint about anyone who does prescribed electrical work, provided it meets the criteria set out below.
A disciplinary oence is electrical work:
done in an incorrect, negligent or incompetent way
does not meet the requirements of the appropriate regulations or standard
where unsafe ttings were installed
that is unsafe or ttings were concealed
where documents such as Certicates of Compliance were not given
where unqualied workers were allowed to do electrical work
where the worker was not authorised to the do the work. This means that their registration and/or licence does not authorise them to do
thework.
What can’t you make a formal complaint about?
The complaints process does not cover things like billing (e.g. overcharging) or damage to property. These are not disciplinary oences that fall
under the jurisdiction of the EWRB. If you have this type of complaint, you could contact your local Citizens Advice Bureau, the Disputes Tribunal,
or Ministry of Consumer Aairs.
What happens to your complaint?
Your complaint will be reviewed by the Registrar to see whether it
is complete
If the Registrar considers your complaint incomplete it will be sent back to you for further information. An incomplete complaint cannot
beinvestigated.
falls under the EWRB’s jurisdiction
If the complaint does satisfy these categories it will be referred to the EWRB for investigation.
is deemed to be frivolous or vexatious
If the registrar considers your complaint frivolous or vexatious (Section 144 (4) of the Electricity Amendment Act 2006) no further action
willbe taken.
Privacy Notice: Any personal information submitted on this application will be kept and maintained by the Electrical Workers Registration Board
(“the EWRB) in accordance with the New Zealand Privacy Act 1993. Personal information submitted will be used by the EWRB for determining whether
applications for registration as an electrical worker or practicing licences may be granted, and for the maintenance and administration of the Electrical
Workers Register. You may request access to see any information held about you and where that information is inaccurate, ask for it to be corrected.