NK AssociatesAdv. Narinder Kumar
Consumer · Free Format

Consumer Complaint Format for District Consumer Commission: Free Word Download

By Advocate Narinder Kumar, NK Associates · Updated October 2026

If you have received a defective product, poor service, or have been charged unfairly by a shop, builder, bank, insurer, hospital or online seller, you can file a complaint before the District Consumer Disputes Redressal Commission where you live or work, for claims up to Rs. 50 lakh. The complaint must be filed within 2 years of the cause of action. You can file it yourself, in person or online on e-Daakhil. Read our consumer complaint guide for fees and process.

Free to download and edit in MS Word, Google Docs or WPS Office on your phone.

How to fill and use it

Step 1: Send a notice firstIt is good practice, though not compulsory, to write to the seller or service provider first and give them a chance to fix the problem. Keep their reply.
Step 2: Fill the facts in orderGive dates of purchase, payment, the defect or deficiency, your complaints and their response, one paragraph each.
Step 3: Claim specific reliefRefund, replacement, repair, compensation for harassment, and litigation costs, each with an amount.
Step 4: Attach documentsBill, warranty, payment proof, photos, correspondence, and an index of documents. Sign the verification and the affidavit before a Notary or Oath Commissioner.
Step 5: File itFile in the District Commission with the fee applicable to your claim (there is no fee up to Rs. 5 lakh), or online at edaakhil.nic.in, with copies for the opposite parties.

Common mistakes to avoid

हिंदी में: खराब सामान, खराब सेवा या गलत चार्ज के लिए ज़िला उपभोक्ता आयोग में ₹50 लाख तक का दावा कर सकते हैं। शिकायत 2 साल के अंदर करनी होती है। ₹5 लाख तक कोई फीस नहीं है। बिल, भुगतान का सबूत और पत्राचार साथ लगाएं। शिकायत खुद या e-Daakhil पर ऑनलाइन भी दर्ज कर सकते हैं।

The format

You can read the full format below, copy it, or download the Word file above.

BEFORE THE DISTRICT CONSUMER DISPUTES REDRESSAL COMMISSION, __________

Consumer Complaint No. ______ of 20__

 

IN THE MATTER OF:

__________ S/o / D/o / W/o __________, aged ___ years, resident of __________, mobile No. __________, e-mail __________ ... COMPLAINANT

VERSUS

1. __________ (name of seller / service provider), through its proprietor / manager, __________ (address)

2. __________ (manufacturer / head office, if applicable), __________ (address) ... OPPOSITE PARTIES

 

COMPLAINT UNDER SECTION 35 OF THE CONSUMER PROTECTION ACT, 2019

Respectfully showeth:

1. That the complainant purchased __________ (product) / availed __________ (service) from Opposite Party No. 1 on __________ for Rs. __________, vide bill / receipt No. __________. The complainant is a consumer within the meaning of Section 2(7) of the Act.

2. That [describe the defect / deficiency in service / unfair trade practice, with dates: e.g. within ___ days the product stopped working; the service was not provided as promised].

3. That the complainant complained to the Opposite Parties on __________ (and on __________), by __________ (visit / e-mail / complaint No. ___), but they failed to remedy the defect / deficiency. [A legal notice dated __________ was also sent but not complied with.]

4. That the above acts amount to deficiency in service / defect in goods / unfair trade practice, due to which the complainant has suffered financial loss, mental agony and harassment.

5. That the cause of action arose on __________ and continues. The complaint is within the period of 2 years prescribed under Section 69 of the Act.

6. That this Commission has territorial jurisdiction as the complainant resides / works at __________ / the Opposite Party carries on business at __________, and pecuniary jurisdiction as the value of goods or services paid as consideration does not exceed Rs. 50 lakh.

7. That the complainant has not filed any other complaint on the same facts before any other forum.

PRAYER

It is therefore prayed that the Opposite Parties be directed, jointly and severally, to:

(a) refund Rs. __________ / replace the product / provide the service, with interest at ___ % per annum from __________;

(b) pay Rs. __________ as compensation for mental agony and harassment;

(c) pay Rs. __________ as litigation costs;

(d) any other relief this Commission deems fit.

 

Place: ____________ COMPLAINANT

Date: ____________

 

VERIFICATION

Verified at __________ on __________ that the contents of paragraphs 1 to 7 above are true and correct to my knowledge, and nothing material has been concealed.

COMPLAINANT

 

List of documents: (1) Bill / receipt (2) Warranty card (3) Proof of payment (4) Complaints and replies (5) Photographs (6) Legal notice and postal receipt, if any

Note: The complaint is to be supported by an affidavit of the complainant, attested by a Notary or Oath Commissioner.

This is a general format for information only, based on Indian law as of October 2026. It is not legal advice and may not suit your facts. Laws, stamp duty and fees change, so get the final document checked by an advocate before you sign or send it.