Florida Consumer Collection Practices Act Complaint Form printable pdf download

Florida Consumer Collection Practices Act

COMPLAINT FORM

We welcome hearing from you because your complaint may be the one that alerts us to fraud or an unfair practice in

the financial industry that needs to be changed. Often it is only through complaints from concerned and responsible

citizens that the Office of Financial Regulation becomes aware of unlawful activity. Your complaint will be

analyzed, entered into a database and may help OFR detect a pattern of wrong-doing which may indicate the need

for formal investigation or action by OFR to protect the broad public interest.

Under Florida law, OFR is charged with enforcing financial regulations and does not intervene on behalf of

individuals or mediate private

disputes.

If your purpose in filing a complaint is to recover money or property, we

suggest that you consider arbitration, mediation or the courts. Private rights of action pursuant to arbitration and

civil proceedings may have certain filing timeframes. You should consider consulting legal counsel prior to or

concurrent with our review. Private causes of action effectively deter abuses and complement the regulatory actions

of OFR as well as other regulatory bodies.

Please Read and Sign: To the best of my recollection, the events described in the following complaint are true. I am

filing this complaint to notify OFR of these activities. I understand that a copy of this complaint may be provided to

the company against whom I am complaining and that my records within that company may be reviewed by OFR or

other agencies which may have jurisdiction in this matter. I declare the following facts are true, correct, and

complete. Section 837.06, F.S., states: Whoever knowingly makes a false statement in writing with the intent to

mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor of the second

degree, punishable as provided in s. 775.082 or s. 775.083.

________________________

________________________________

Date

Signature

Please send completed form to:

Office of Financial Regulation

Division of Consumer Finance

Consumer Assistance Group

200 E. Gaines Street

Tallahassee, FL 32399-0381

Tel: (850) 410-9800

Fax: (850) 410-9300

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FORM OFR-559-102, Effective 09-09-2015

Incorporated by reference in Rules 69V-180.002 and 69V-180.040, F.A.C.

Florida Consumer Collection Practices Act Complaint Form