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Charitable Trusts and Organization Complaint Form

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. 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

 

Age Group

       

Title

Their Name*

 

 

Address*

City*

State*

County

Zip Code*

Daytime Phone Number

Home Phone Number

Email

 

Who is the complaint against?

Name of the charitable organization or fundraising campaign associated with the solicitation * 

Address

City

State

County

Zip Code

Phone Number

Name and /or title of the person calling or writing to you:

The purpose(s) for which your donation/contribution was to be used:

 

How were you contacted:

 

Date(s) of contact(s)

Did you agree or pledge to make a donation/contribution?

       

How much?

How did you make your donation/contribution?

  

When did you make your donation/contribution?

Did you receive any written solicitation materials, receipts, pledge reminders, decals, membership cards, etc.?

       

Please explain your complaint.  Try to be brief, but be sure to tell WHAT happened, WHEN it happened and WHERE it happened.  Be specific about any oral statements that were made to you.  Describe events in order in which the happened.

 

 

PLEASE READ CAREFULLY

THE ATTORNEY GENERAL CANNOT ACT AS YOUR PRIVATE ATTORNEY

The primary function of the Office of Attorney General is to represent the public at large. The Charitable Trusts and Organizations Section will review all complaints received. If additional information is required, you will be contacted.

Your complaint will be kept on file with our office and the information may be used to establish violations of Pennsylvania law. This office cannot release any information about a review or investigation it may undertake. General information about the registration or financial status of a charitable organization doing business in Pennsylvania can be obtained by contacting the Department of State, Bureau of Charitable Organizations, toll-free within Pennsylvania, at 1-800-732-0999.

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.