Orion Community Cable Communications
Commission
37 East Flint Street, Lake Orion, Michigan 48362
Phone: (248) 693-7420 Fax: (248) 693-9686
Cable Television Subscriber Complaint Form
Please complete to the double line
and return to the Cable Commission
at the above address or fax number.
Attach another sheet or use the back of this form if more room is needed.
Name ____________________________________________ Phone _______________
Address ________________________________________________________________
Nature of complaint - please be specific ________________________________________
______________________________________________________________________
______________________________________________________________________
Have you contacted the cable company regarding this issue? _______________________
If yes, please explain how and when the cable company was contacted, and their response.
____________________________________________________________________
______________________________________________________________________
How would you like this issue to be resolved?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
To be completed by Cable Commission:
Date received ____________________ Resolution
______________________________
______________________________________________________________________
____________________________________________ Date resolved: ______________