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Consumer Complaint Form (District Of Columbia) - Legal Forms
| Consumer Complaint Form (District Of Columbia) Form. This is a Legal Forms form and can be used in Lemon Law Consumer . |
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Government Consumer Complaint Form of the District of Columbia Overview The Department of Consumer and Regulatory Affairs (DCRA) and the Office of the Attorney General (OAG) are joining forces to begin a new, strengthened consumer protection effort for the residents of the District of Columbia. To file your complaint, please fill out all sections of the form below. Provide as much information as possible. Fields marked with an asterisk (*) are required. DCRA and OAG will notify you if any action is to be taken. Thank you for submitting your complaint. Section I: How Do We Reach You? Name* Address* State Home Telephone Best Contact Time Email Address* City* Zip Work Telephone Section II: Who is Your Complaint Against? Name of Person* Name of Business* Address State Telephone Website Product or Service Anyone Else City Zip Email Section III: What Happened? Details of Incident Amount involved? How did you pay? Cash Loan Other (explain) Credit Card Lay Away Debit Card Check When did it happen? Have you contacted the company about your complaint? When did you contact them? What did you ask them to do? Refund Repair Deliver Service or Product Perform Service Replace or Trade Product Other (explain) consumer.dc.gov is a partnership between the Department of Consumer and Regulatory Affairs and the Office of the Attorney General American LegalNet, Inc. www.FormsWorkFlow.com Government of the District of Columbia How and where did you learn about the product or service? Have you or the business filed a lawsuit? Describe your complaint in detail. Describe the events in the order that they happened. (Maximum 500 Characters, Approximately 5 lines) Section IV: Next Steps May we share your complaint with the business? Yes No May we share your complaint with other law enforcement agencies? Yes No By submitting this information, I hereby attest to the accuracy or truthfulness of the content. Yes Date* Signature* (Please type your name) To print a copy for your records, select Print, then select the print icon from the browser window. To submit, please You can also save a copy of the document and email directly to consumer.protection@dc.gov. To remain anonymous, you can call with the Consumer Complaint Hotlines of DCRA or OAG. The hotlines are: ·DepartmentofConsumerandRegulatoryAffairs 202-442-4615 ·OfficeoftheAttorneyGeneral No 202-442-9828 Print Form Submit by Email American LegalNet, Inc. www.FormsWorkFlow.com
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