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Complaint Form (Mississippi) - Legal Forms
| Complaint Form (Mississippi) Form. This is a Legal Forms form and can be used in Lemon Law Consumer . |
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STATE OF MISSISSIPPI JIM HOOD ATTORNEY GENERAL MEREDITH ALDRIDGE, DIRECTOR CONSUMER PROTECTION DIVISION Dear Consumer, Thank you for bringing your complaint to our attention. It is our intent to help you reach a prompt resolution of this matter. In order for this office to properly consider your case, it will be necessary for you to follow the directions outlined below. While we may be able to offer advice, we cannot take action to assist you until the following steps have been completed. 1. Write a letter of complaint to the business which sold you the item or performed the service. Ask for specific and reasonable action from the company. Send the letter by certified mail with a return receipt requested. If the business does not respond within ten working days, or if it indicates an unwillingness to work with you, complete the enclosed complaint form and mail it to the address indicated. Enclose copies of your letter to the business and any contracts, bills, receipts, or canceled checks. Remember, send copies, do not send originals. Allow three (3) weeks for a review of your complaint and a response from our office. 2. While we can sometimes assist with the mediation of a dispute when both parties are willing, we cannot by law act as a lawyer for any one person who has a dispute with another. Under the Mississippi Consumer Protection Act, the Attorney General is allowed to sue only to prevent unfair and deceptive business practices occurring statewide or affecting large numbers of people. Additionally, we can not arbitrate disputes between businesses. We encourage consumers to send us information about suspected illegal business practices. Often, the more reports we receive, the clearer the practice is revealed. Numerous complaints may reveal a pattern of misconduct, allowing us to take action. If we cannot assist you, we will refer you, whenever possible, to other more appropriate agencies or organizations which may be of assistance. In any event, we will do everything within our authority to help resolve your problem. Thank you for your cooperation. Sincerely, JIM HOOD, ATTORNEY GENERAL 802 NORTH STATE STREET - SUITE 303 - POST OFFICE BOX 22947 - JACKSON, MISSISSIPPI 39225-2947 TELEPHONE (601) 359-4230 - FACSIMILE (601) 359-4231 American LegalNet, Inc. www.FormsWorkFlow.com Sample Complaint Letter +)))))))))))))))))))))))))))))))))))))))))))))))))))), * * (Your Address) * (Your City, State, ZIP Code) * (Date) * * (Name of Contact Person, if available) * (Title, if available) * (Company Name) * (Consumer Complaint Division, if you * have no contact person) * (Street Address) * (City, State, ZIP Code) * * Dear (Contact Person): * * Re: (Account number, if applicable) * * On (date), I )bought, leased, rented, or * had repaired) a (name of the product with * serial or model number or service performed) * at (location, date and other important * details of the transaction). * * Unfortunately, your product (or service) * has not performed well (or the service was * inadequate) because (state the problem). I * am disappointed because (explain the problem: * for example, the product does not work properly, * the service was not performed correctly, I was * billed the wrong amount, something was not * disclosed clearly or was misrepresented, etc). * * To resolve the problem, I would appreciate * your (state the specific action you want--money * back, charge card credit, repair, exchange, etc.) * Enclosed are copies (do not send originals) of * my records (include receipts, guarantees, * warranties, canceled checks, contracts, model and * serial numbers, and any other documents). * * I look forward to your reply and a resolution * to my problem, and will wait until (set a time * limit) before seeking help from a consumer * protection agency or the Better Business Bureau. * Please contact me at the above address or by * phone at (home and/or office numbers with area * codes). * * Sincerely, * * (your name) * * Enclosure(s) * cc: (reference to whom you are sending a copy of * this letter, if anyone) * .)))))))))))))))))))))))))))))))))))))))))))))-)))))))* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * >describe purchase >name of product, serial numbers >include date and place of purchase >state problem >give history >ask for specific action >enclose copies of documents >allow time for action >state how you can be reached KEEP COPIES OF YOUR LETTER AND ALL RELATED DOCUMENTS. American LegalNet, Inc. www.FormsWorkFlow.com OFFICE OF CONSUMER PROTECTION Post Office Box 22947 Jackson, Mississippi 39225-2947 Telephone (601) 359-4230, (800) 281-4418; Fax (601) 359-4231 Jim Hood, Attorney General State of Mississippi OFFICE USE ONLY Assigned to ____________ Date assigned Matter No. ____________ ____________ Matter Type: ___Advocacy ___ Fraud Complaint Type: ___Call ___ Write ___ Walk-in ___Referral 44444444444444444444444444444444444444444444444444444444444444444444444444444 44444444444444444444444444444444444444444444444444444444444444444444444444444 COMPLAINT FORM Repair item ACTION DESIRED: Please check one. CONSUMER INFORMATION: Name (Optional, for statistical purposes, only) Replace item Refund (amount $ ) Age Sex Race Address Home Phone ( Fax Number COMPANY INFORMATION: Name Owner/Manager Address Name of person with whom you dealt Product or service Model (year/type/number) Date of purchase or service Amount paid Date of your last contact with business With whom did you speak? What was the response? ) City Work Phone ( E-mail Address (complete information applying to your complaint) State ) Zip Business Phone: City State Zip Manufacturer Serial Number Place of purchase or service Amount financed His/Her title? American LegalNet, Inc. www.FormsWorkFlow.com INCLUDE COPIES OF ALL CORRESPON DENCE W IT H T HIS COM PLAINT FORM Have you retained a private attorney regarding this matter? Yes ______ No ______ What other agencies have you contacted about this complaint? Do you know of others with similar complaints against this company? Name Address Phone SUMMARY OF COMPLAINT (Briefly describe your complaint. Include specific dates. Please remember a copy of this form will be given to the business. Attach additional sheets if necessary.) Attach COPIES of any relevant documents such as letters, bills of sale, contracts, warranties, advertisements, work orders, bills, etc. DO NOT SEND ORIGINALS TO THIS OFFICE. Check Action Desired: ___
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