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New Vehicle Warranty Complaint Form (Maryland) - Legal Forms
| New Vehicle Warranty Complaint Form (Maryland) Form. This is a Legal Forms form and can be used in Lemon Law Consumer . |
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New Vehicle Warranty Complaint Form Baltimore Office Eastern Shore Office State of Maryland Office of the Attorney General Consumer Protection Division Western Maryland Office Consumer Protection Division 200 St. Paul Place, 16th Floor Baltimore, Maryland 21202 410-528-8662 Consumer Protection Division 201 Baptist Street, Suite 30 Salisbury, Maryland 21801 410-543-6620 Consumer Protection Division 44 N. Potomac St Hagerstown, Maryland 21740 301-791-4780 An interactive complaint form is available on our website at www.oag.state.md.us/Consumer/complaint.htm, or you may complete the form below and mail to the office nearest you. Last Name Street Address City, State, Zip Daytime Phone # First Name Name of Dealership (where you bought your car) Street Address City, State, Zip Evening Phone # Phone # FOR OFFICE USE ONLY - DO NOT WRITE IN THIS BLOCK Date Received Case # Con Loc PL/TRN Business Code Mult Add Bus Loc Inv Industry Status Franchise Practice Codes Date Closed Relief Disp Refund/Savings Contact Comments: Vehicle: Year Make (Manufacturer) Owner Model Purchase Date: Current Mileage: Vehicle Identification Number (VIN): Mileage at Purchase: Is Your Vehicle Registered in Maryland? Yes No - OVER American LegalNet, Inc. www.FormsWorkFlow.com Please describe the problem(s) you have had with your new vehicle using the following chart and attach copies of all documents that relate to these problems (e.g. invoices, repair orders, etc.) to this form. Problem Date of Repair Mileage Have you notified the Manufacturer of the problems? If yes: Please attach a copy of your letter to this form. 1. 2. Yes No Was the notification sent by certified mail, return receipt requested? What, if any, response have you received from the manufacturer? (Please attach any written correspondence) Yes No ________________________________________________________________________________________________ ________________________________________________________________________________________________ Please mail your completed form to the Consumer Protection office nearest you (listed listed on other side). Rev. 05/09 American LegalNet, Inc. www.FormsWorkFlow.com
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