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Consumer Complaint Form

  1. The legal staff of the District Attorney's Office is not permitted to represent private citizens in court seeking the return of their money or other personal remedies.
  3. Are you a senior citizen?*
    List the name of the firm or individual the complaint is being made against. Identify the Salesman or Representative you dealt with.
  6. Was a contract signed?*
  7. Did you complain to the company?*
  8. Do you have witnesses?*
  9. Have you contacted an attorney?*
  10. Are any civil actions (lawsuits) pending?*
  11. Have you contacted any other agencies?*
  12. Are you willing to sign a complaint and testify in court?*
  13. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that by signing in this electronic manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature
  14. Leave This Blank:

  15. This field is not part of the form submission.