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. The form will not submit without this information. If you do
not receive a "Thank You" page, please go back and check the information you entered.
The office will notify
you if any action is to be taken.
Section I: How Do We Reach You? Your Contact Information
Your name*
Address*
City
State
Select One
District of Columbia
Maryland
Virginia
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Washington
West Virginia
Wisconsin
Wyoming
Zip
Home Telephone
Work Telephone
Email Address*
Best Contact Time
Section II: Who is Your Complaint Against? Business Contact Information
Name of Person*
Anyone Else
Name of Business*
Address
City
State
Select One
District of Columbia
Maryland
Virginia
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Washington
West Virginia
Wisconsin
Wyoming
Zip
Telephone
Website or Email
Product or Service
Section III: What Happened? Details of Incident
Amount involved?
How did you pay?
Cash
Credit Card
Debit Card
Loan
Lay Away
Check
Other (explain)
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)
What did they do?
What other agencies have you contacted
about your complaint?
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)
+ If you need more space, select this link to email the OAG Consumer Complaint Office directly:
consumercomplaint.oag@dc.gov
and put your name and the date in the subject field of the email.
Section IV: Next Steps OAG Review
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
No
Date*
Signature*
(Please type your name)
To review the information before you submit, or to print a copy for your records, select
Printable Version
, then
select the print icon from the browser window.
Submit
Reset
Go
Reset
Print
80%
100%
120%