Scam Complaint Form (Internal)

Fields marked with (*) are required.

Source Type*

OAG Rep*

Consumer Information

Veteran Status

Please check if you or an immediate family member is a member of the military or a veteran.

Senior Status

Please check if you are age 60 or older.

Your Information

Name*

First Last

Address*

Street Address Address Line 2 City State Zip Code

County*

Best Phone Number*

Alternative Phone Number (Optional)

By providing your email address, you agree to receive email communications from the Pennsylvania Office of Attorney General.

Age (optional)

Please Provide Any Information You Have on the Scammer’s Identity and Whereabouts:

Business Name (if known) Stated by the Caller or Email

Business Email

Person to whom you spoke

Phone Number Displayed on Caller ID

Did the call begin with a recorded message?

Yes

Did the Scammer contact you by text message?

Yes

Did the Scammer refuse to identify himself or the company?

Yes

Have you asked the Scammer to stop calling you?

Yes

Date Scammer First Contacted You

Time Scammer First Contacted You

How Much Did the Scammer Ask You to Pay?

How Much Did You Actually Pay?

What Form of Payment Did the Scammer Ask You to Use?

Other Form of Payment

If you were asked to pay with a gift card, what type did the scammer request?

Are you on the Pennsylvania Do Not Call List?

Yes

Are you on the Federal Do Not Call List?

Yes

Complaint Information

Please explain your complaint: Try to be brief, but be sure to tell WHAT happened, WHEN it happened, WHERE it happened HOW MANY time it happened. Be specific about any oral statements the Scammer made to you, ESPECIALLY those that influenced you to deal with the Scammer. Describe events in the order in which they happened, and provide any other information you have about the Scammer (address, other phone numbers, alternative names, etc). Tell us if you have contacted the payment processor or bank to determine exactly where your funds were received, and tell us whether you reported this loss to any other law enforcement agency.

Complaint Summary

If possible, please upload your contract, proof of payment, and other documentation to help us better understand your complaint. Accepted file types include jpg, gif, png, pdf. If you do not have a scanner, please upload photo of the documents. Please include any relevant emails or screen shots of text messages. If you prefer, you may email your documents to BC******@*************al.gov.

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Complaint File Uploads

Drop files here or

Max. file size: 256 MB, Max. files: 25.

What is your race or ethnicity?*

PLEASE READ CAREFULLY The Attorney General cannot act as your private attorney. Please be advised that the information you provided may be shared with the party against which you have filed a complaint. Additionally, your complaint may be shared with or referred to other governmental law enforcement or regulatory agencies.Your complaint will also be kept on file with our office and the information contained therein may be used to establish violations of Pennsylvania Law. You are authorizing the Bureau of Consumer Protection to contact the party against which you have filed a complaint in an effort to reach an amicable resolution. You further authorize the party against which you have filed a complaint to communicate with and provide information related to your complaint to the Bureau of Consumer Protection. Do you verify that the information provided is true and correct to the best of your knowledge or information and belief?

Complaint Submission Date*

Attorney General Sunday

Office of Public Engagement

Do Not Call List

Home Improvement Contractor Registration

Consumer Information

Your Information

Complaint Information