Telemarketer DNC Complaint Form

Commonwealth of Pennsylvania

Office of Attorney General

Please Note: As part of the complaint handling process, the Bureau may send a copy of this form to the individual or company against whom your complaint is filed.

Your Information

Your name:

Address:

City:

County:

State:

Zip Code:

Home telephone number: (###-###-#### format)

Daytime telephone number: (###-###-#### format)

Your email:

Age Group (for Statistical and Enforcement Purposes Only)

18-29
30-44
45-59
60 or older

Information About the Telemarketer

Name of the Telemarketer:

Date of Call:

Time of Call:

Name of the Company on whose behalf the call was made:

Telephone Number from which the Call Originated: (###-###-#### format)

Do you have Caller ID Service?

Telemarketer Address: (if provided)

Was the Caller I.D. info displayed?

City:

County:

State:

Zip Code:

Information About the Unwanted Call

Was the telemarketing call a recorded message?

Did the telemarketer refuse to identify himself or the company?

Did the telemarketer disclose the purpose of the call?

Identify the product or service that was offered and explain any details of the offer:

If you mentioned that you were on the Do Not Call list, what did the telemarketer say?

Information You Should Know

The Do Not Call law provides for several exceptions under which telemarketers may call your home even if your name is registered on the Do Not Call list. Those exceptions include calls from:

Telemarketers calling at your expressed request.
Telemarketers who have had an established business relationship with the residential telephone customer within 12 months preceding the call.
Tax-exempt charitable organizations, veterans organizations chartered by the United States Congress and calls made on behalf of a political candidate or political party.
Telemarketers calling in reference to an existing debt, contract, payment or performance.

(In addition to PA's DO NOT CALL law you are permitted to ask the telemarketer to remove your name from their calling list. A telemarketer who fails to do so violates the law.)

Once you have registered...

Please keep in mind that since the list is updated quarterly, you can expect a delay between the time you register on the Do Not Call list and the time telemarketers are prohibited from making calls to your home.

PLEASE READ CAREFULLY

The Attorney General cannot act as your private attorney. As a law enforcement agency, the primary function of the Office of Attorney General is to represent the public at large by enforcing laws prohibiting fraudulent or deceptive trade practices.

The information you provide will be used in an attempt to resolve your complaint and may be shared with the party complained against.

I certify that the information provided is true and correct to the best of my knowledge, information and belief.

Pennsylvania Office of Attorney General