Online Complaint Form

Online Complaint Form

Online Complaint Form

First Name
Last Name

Home Address:


Mailing Address: (If different from Home)



Dealership or Person your complaint is against:

Dealership name or First and Last name of Person
First and Last name of Person
Title of Person

Please fill in this section completely.

(17 Characters)

Was this vehicle financed: *

Type of warranty *

Did you receive a warranty or disclaimer, separate to the purchase agreement? *

Did you receive the title? *

Did you sign and receive a copy of the Federal Trade Commission Buyer’s Guide? *

Did you sign and receive a copy of the Federal Odometer Statement? *

Have you contacted the Owner/Manager about the problem? *

How do you want this complaint resolved? *


Please attach copies of any relevant documents such as letters, bill of sale, contracts, warranties, advertisements, work orders, bills, etc.

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THERE IS NO FEE FOR THE ARBITRATION OF COMPLAINTS THROUGH THIS AGENCY. I am filing this complaint to notify your office of the activities of this party or parties and for any other assistance you may be able to render. I swear that the information contained herein is true and accurate to the best of my knowledge, information and belief.

Please type your name to sign the form.

Complainant's Signature
Date
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