Online Complaint Form – Louisiana Used Motor Vehicle Commission

First Name *
Last Name *

Home Address *

City *

State *
Zip Code *

Mailing Address (If different from Home)

City

State
Zip Code

Email Address *

Home Phone
Mobile Phone

Dealership or Person your complaint is against:

Name
Title

Address *

City *

State *
Zip Code *

Please fill in this section completely.

Date of Purchase *
VIN # *

Make of Vehicle *

Model *
Year *

Was this vehicle financed: * YesNo

If yes, by whom:

Type of warranty * As Is / No WarrantyExtended WarrantyOther

If other, describe:

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

Did you receive the title? * YesNo

If no, state the reason:

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

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

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

If so, what was the outcome?

Briefly state the facts of your complaint. Include specific names, dates, and other information relative to your complaint.

Please attach copies of any relevant documents such as letters, bill of sale, contracts, warranties, advertisements, work orders, bills, etc.
Please ensure that any uploaded documents do not exceed 25MB in size. We accept the following filetypes: jpg, gif, png, jpeg, pdf, doc, docx, xml, txt, xls, xlsx, zip, rar, and ace.

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 *

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.