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Antitrust Complaint Form

Please Note: As part of the complaint handling process, the the Antitrust Section may send a copy of this form to the individual or company against whom your complaint is filed. Failure to supply your complete and accurate contact information may result in delayed processing of your complaint.

*indicates required field


Age Group

      


Your Information

 

Title

Your Name*

 

 

Address*

City*

State*

County*

Zip Code*

 

Daytime Phone Number*

 

Home Phone Number*

 

Email

 

 

Complaint Information

 

Describe the nature of your complaint*

 

 


If your complaint involves a merger:

 

What industry is involved?

 

Who are the merging parties?

 

How will you be impacted by the merger?

 

What would you like us to do?

 

 



If your complaint involves price fixing (where competitors agree on a price or other terms of sale for their products on services):

 

What industry is involved?

 

What are the specific products or services?

 

Who is engaging in the conduct?

 

Where is the conduct occurring?

 

Describe the conduct.

 

Why do think the conduct is price-fixing?

 

How are you impacted by the conduct?

 

What would you like us to do?

 

Is there anyone else we should contact for more information?

 

 



If your complaint involves bid-rigging (where competitors agree in advance who will submit the winning bid):

 

What is the name of the public or private entities involved in the bid or contract?

 

What is the product or service put out for bid?

 

Where did the conduct occur?

 

Who submitted bids?

 

Who won the bid/contract?

 

Describe the bidding process and your concerns with the process.

 

How were you impacted?

 

What would you like us to do?

 

Is there anyone else we should contact for more information?

 

Please provide any additional information regarding your complaint.Please explain what happened, when it happened, where it happened and what you would like us to do.

 

 


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. The Antitrust Section will review all complaints received. If additional information is required, you will be contacted. Your complaint will remain on file with our office and the information contained in it may be used to establish violations of Pennsylvania Law. This office cannot release any information about a review or investigation it may undertake.

By completing and submitting this complaint form, I am adopting this as my online signature. I certify that the information provided is true and correct to the best of my knowledge, information and belief. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S.§ 4904, relating to unsworn falsification to authorities.