Consumer Complaint Form
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1
2
3Consumer Protection
Office 800-282-0515
Fax 866-268-2279
30 E. Broad Street, 14
Floor
th
Columbus, Ohio 43215
Office Use Only:
Consumer Complaint Form
Complaint #:
The Ohio Attorney General’s Consumer Protection Section provides a complaint resolution process to resolve disputes
between consumers and businesses. If you have a complaint regarding a consumer transaction (a purchase or
advertisement of a product or service used for the home or personal use), you may file a complaint with our office.
You May File a Complaint One of Three Ways:
By phone:
By mail:
Online:
Complete this form in dark ink and mail to:
Call 800-282-0515
Visit
Consumer Protection Section
On our Web site, you can file a
Our help center associates
30 E. Broad St., 14th floor
complaint, sign up for our e-newsletter
will assist you in filing your
Columbus, OH 43215-3400
and learn about your consumer rights.
complaint.
Pre-Complaint Questions:
Have you contacted the company about your complaint?
Yes No
Have you hired an attorney to represent you in this matter?
Yes
No
If yes, provide: Attorney’s name : Attorney’s phone number : ( )
Are you involved in a lawsuit regarding this issue?
Yes
No
Have you contacted any other agencies regarding this issue?
Yes
No
If yes, please list the agencies :
PLEASE NOTE: Any information you submit with your complaint is considered public and may be released as
part of a public records request. Remove Social Security numbers, credit card numbers, debit card numbers
and other bank account numbers from any documents you submit with your complaint.
Information about You (the Consumer):
First name:
MI:
Last name:
Suffix :
Address :
City :
State :
Zip Code :
County :
Country :
Daytime phone : ( )
Alternate phone : ( )
E-mail address :
Fax : ( )
Subject of the Complaint (Business Information):
Name of business you’re complaining about :
Address :
City :
State :
Zip Code : County :
Country :
Telephone : ( )
Toll-free : ( ) Fax : ( )
E-mail address :
Web address :
Name of business owner/salesperson :
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Parent category: Legal