Complaint Form
All complaints are handled confidentially and remain anonymous.
I am* RetailerCitizenBottler/Supplier
Contact details
First name*
Last name*
Company name (optional)
Phone number*
Extension number (optional)
Email address*
Event date* (Example: 2020-05-12)
The complaint concerns RetailerBottler/Supplier
Establishment name*
Establishment address*
City*
Postcode*
Phone (optional)
Other phone (optional)
Type of containers concerned by the complaint* AluminumPlasticGlass
Name of product(s)*
Format of the product(s)*
Deposit-Refund amount* $
Types of complaints* (Check the applicable situation(s)) Dealer refuses to take back containersThe wrong deposit amount is charged to customersDeposit is charged on non-redeemed productsRefusal to refund the refundable portion of the depositDeposit refunded only on products sold in storeDeposit redemption is made within a limited time frameDeposit redemption is limited to a number of containersDeposit redemption with an in-store purchase requirement (credit)Sale of returnable products without a permitSale of non-returnable containers
Summary of the event*
Do you want to be notified when the complaint is processed?
