General Consumer Complaint Form

The Washington State Office of the Attorney General can only process complaints which involve either Washington state residents or businesses located in Washington state. If the Washington Attorney General's Office is not the appropriate agency to handle your complaint, Consumer World maintains a large list of agencies that may be able to help you. Para hacer su queja, haga clic aqui.

* Required fields

Consumer information

*Last Name:

*First Name:

Middle Name:

*Address:

*City:

*State:

*Zip:

*Day Phone:

Eve Phone:

*E-Mail Address:

For our statistics, please select your age group:(optional)

About your complaint

*Briefly explain your complaint: This space will accept up to 7000 characters (will turn yellow if exceeded)

Have you complained to the business?

If YES, to whom: (and their position)This space will accept up to 7000 characters (will turn yellow if exceeded)

What response did you receive? This space will accept up to 7000 characters (will turn yellow if exceeded)

If you have not contacted the business, explain why not: This space will accept up to 7000 characters (will turn yellow if exceeded)

Have you filed a complaint with the Attorney General's Office before?

If Yes, what was the complaint number:

Have you contacted an attorney?

If yes, what is the attorney's name and address?

Is there a court or other legal proceeding pending?

If yes, please explain:

What do you think the business should do to resolve your complaint?

Explain if you selected "Other": This space will accept up to 7000 characters (will turn yellow if exceeded)

Information about the business against which you are filing a complaint

*Business Name:

Address:

City:

State:

Zip:

Business Phone:

Business Fax:

Toll-Free Number:

E-Mail Address:

Web Site:

Name of Owner / Manager:

Salesperson's Name:

Names and addresses of any other businesses involved in your complaint:

Item or service purchased:

How did you pay for it?

Did you sign a contract?

Sale date:

Cost of item or service:

Was an advertisement involved?

Source of advertisement:

Ad date:

Notices and signature

*E-mail Notifications
The Attorney General's Office will periodically issue press releases, consumer warnings and other notifications to the public. We would like to include you in our e-mail list for these notifications. Please answer "Yes" in this box if you want to receive these notifications.

*Disclosure Notices
In order to process your complaint, the Attorney General's Office will send a copy of your complaint to the complained business. Do you want the Attorney General's Office to send this business a copy of your complaint?

I understand if I answer No, the Attorney General's Office will not process this complaint. Additionally, if I answer Yes, I understand that my complaint and any related documents I have submitted will become "public records". Under state law, public records are subject to public records disclosure requests. Under some circumstances, my complaint and related documents may therefore be seen by other people.

Declaration: By filling in my name and the date below, I declare, under penalty of perjury under the laws of the state of Washington that the information contained in this complaint is true and accurate.

*Name:

*Declared this date:

Submit

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