STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
TRADE PRACTICES DIVISION
165 CAPITOL AVE., Room 110
HARTFORD, CT 06106
And all supporting documents (e.g. receipts, contracts, etc.)
Please e-mail completed form
as an attachment to
dcp.frauds@ct.gov
You may file your complaint electronically by e-mailing this form as an attachment along with all supporting documents.
since not all versions of Adobe may transmit, you should e-mail by selecting “File > Attach to Email”
CAUTION
and copy yourself. Adobe Reader does not allow a user to save a completed form and some versions may not allow us
to read the data.
Fax No. 860-707-1966
NO SALES SOLICITATION COMPLAINT FORM
IMPORTANT!
This form is only for consumers who are registered with the Do Not Call Registry.
YES
NO
*My telephone number appears on the Do Not Call Registry.
If the answer is NO, do not continue with this form. Please call
1-888-382-1222
to register, or
register online at https:// Information fields with an * are required.
NAME *: (Please print your full, legal name) ______________________________________________________
ADDRESS *: _______________________________________________________________________________
CITY *: __________________________
STATE: CT
ZIP CODE *: ____________________________
Telephone number Telemarketer called * __________________ Your E-mail address_______________________
Did the caller ask for anyone specifically in the household? If so, who?*__________________________________
Daytime telephone number: ___________________________________
When did you sign up for the no call list?________How did you sign up? (i.e. phone, fax, web, writing)___________
Name of the telemarketing business that your complaint is against *: _______________________________________
Product or service offered *: _______________________________________________________________________
Date and time of call *: (Month/Day/Year)__________________ Caller phone number: _______________________
Caller’s name: FIRST _____________________________ LAST ________________________________________
Caller address: _________________________________________________________________________________
City: ____________________ State _________________ Zip Code ______________
The call was a recorded message. There was no “live” operator to greet me.
YES
NO
The solicitor’s telephone number was obtained electronically by Caller ID or other service.
YES
NO
PLEASE DESCRIBE YOUR COMPLAINT BRIEFLY.
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Please remember certain calls are not violations of the law. The following is a list of unsolicited telephone calls
that are permissible even if a consumer has placed his/her name on the “Do Not Call” list.
1. Calls made for non-commercial purpose, such as polls, surveys, and political purposes.
2. Calls made in response to the consumer’s written or verbal request.
3. Calls made by tax-exempt, non-profit organizations, such as charities.
4. Calls made as a result of a visit by the consumer to a business.
5. Calls made to consumers with whom they have a current business relationship.
6. Calls made by a solicitor in their first year of doing business in CT.
7. Calls made in connection with the compiling of telephone directories.
8. Calls made in connection with an existing debt or contract for which payment or performance is not yet completed.
dm/07-14