Consumer Complaint Form

When applicable, your complaint will be handled by the Better Business Bureau in the service area where the business is located. Before filing a complaint, the Attorney General and the BBB recommend you try to resolve your dispute with the company’s management.

We are prohibited by law from giving legal advice. As a result, our office cannot provide legal advice, interpretation, or individual representation. To preserve any legal rights you may have, you may wish to consult with a private attorney and/or review the possibility of small claims court remedies.

About You

Your Name (please enter your full name, ex: John Smith): *

Your Address: *

City: *

Zip: *

State: *

Home Phone: *

Business Phone:

Email: *

Are you over 60 years of age?:

Yes

This information is collected for statistical purposes only.

About the Company you are Complaining Against

Name of the Company: *

Company Address: *

City: *

State: *

Zip: *

Phone: *

Email:

Web Site:

Name of Sales Person or Principal of Business:

Your Complaint

Have you discussed the complaint with the owner or manager of the business?: *

Yes

Name of the person with whom you spoke:

When did you speak with this person?:

Type of Product or Service: *

Date Purchased: *

Order, Contract, Account or Policy #:

Was the product or service advertised?: *

Yes

Where?:

When?:

Describe any representations made about the product or service : *

Your Complaint: *

Briefly explain the nature of your complaint. Please be clear, concise, accurate, and eliminate biases and opinions. If there is further relevant information, please attach a separate sheet.

What do you consider to be a fair resolution to seek from the business?: *

Amount of Loss

Amount in Dispute: * $ (Actual loss only)

Please include only numbers, for example, if the amount is $28,000 enter 28000

Consumer Fraud Awareness

By submitting this complaint electronically, I hereby certify I am the above listed individual and authorize the above listed business and/or its agents to discuss the details of my complaint with representatives of the Colorado Attorney General’s Office. I verify I have read the preceding information and it is true to the best of my knowledge.

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