Consumer Complaint - Oregon Department of Justice : Consumer Protection (original) (raw)

IMPORTANT: Please provide as much information as you can and attach copies of receipts, invoices, letters or other documentation. We cannot act as your attorney or give you legal advice. Oregon law has short deadlines for starting a lawsuit, so you may wish to contact an attorney as soon as possible. Filing a complaint with the Oregon Department of Justice does not extend your legal deadlines and does not guarantee the results you want.

You may submit documentation to support your claim on the next screen. This form and the document upload page will timeout after 20 minutes of inactivity. Please have any documents you wish to upload prepared before continuing to the next page. Accepted file types are .pdf, .img, .tif, .png, .jpg, .doc, .docx, .xls, .xlsx. You may submit up to 10 documents under 20MB.

Information about you - Fields marked by an asterisk * are required.

* First Name:

* Last Name:

* Mailing Address:

* City:

* State:

* Zip:

* Day Phone:

Cell Phone:

Email Address:

Note: A confirmation copy of the complaint you have submitted will be emailed to the email address referenced above.

I would like to receive FRAUD & SCAM ALERTS. (Email address required.)

I am not requesting action on this complaint.

I am over 65 years of age.

I am under 30 years of age.

English is not my first language.

I am a Veteran.

Information about the business or person about which you are complaining.

Name of Business:

Mailing Address:

City:

State:

Zip:

Phone:

Business Email Address:

If you paid by credit card, the card issuer may offer relief (or protection). Consider contacting your credit card company.

Information about your complaint. Money Lost:

Date of Transaction:

Type of Service or Transaction:

If your complaint is about TOWING, please provide the Vehicle License Plate #:

State:

Plate #:

If your complaint is about a WEBSITE, please provide the Website URL here:

URL:

If you have an ACCOUNT with this business, please provide the Account # here:

Account #:

Are you represented?

Business Name:

Other:

Is an attorney helping you? Yes No

Attorney's Name:

Phone #:

* Details of Complaint - Describe the issue you are concerned about in as much detail as possible, including names and dates of contacts with the business, any attempt you made to resolve the issue, and what outcome you are seeking (e.g., a refund, a credit, a repair, etc.). NOTE: If your complaint is about a cell phone account, please include cell phone number(s).

If you are receiving telemarketing calls even though you are registered with the National Do Not Call List, please Report a Violation of the Do Not Call List.

* By checking this box and submitting this form, I understand and agree that:

This complaint and any supporting documentation will become part of DOJ's permanent public records and is subject to Oregon's Public Records Law.
This complaint and any supporting documentation may be released to the business and/or person in which I am complaining about.
This complaint and any supporting documentation may be referred to another government agency.
I authorize any party to release to the Department of Justice any information and/or documentation relative to the complaint.

The Oregon Department of Justice will use these records to investigate and seek resolution of this complaint, when it is within the limitations of their Legal Authority when representing the State of Oregon.