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Consumer 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.

Supporting Documentations:  If you have digital versions of supporting documentations such as contracts, letters, advertisements, sales slips, proof of payment or warranties, we ask that you email them to BCPAdmin@attorneygeneral.gov after you submit your complaint. 

  • Please include in the subject line your last name and last 4 digits of your home phone number. EXAMPLE: SMITH2345
  • Acceptable file types are images and PDFs.
  • Max file size is 4MB and max total upload size is 10MB.

If you have documentation that you cannot email, you must fill out the PDF version of the Consumer Complaint Form and mail to BCP.  Make sure to send copies and not the originals of your documentations.

 
 *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?

Business Name*

Person to whom you spoke

Address

City

State*

County

Zip Code

Phone Number

Product or Service Purchased

Date of Purchase

Purchase Price

 

Legal Representation

Have you retained an attorney

                 

Attorneys Name

Address

City

State

County

Zip Code

Daytime Phone Number

 

Have you filed a legal action

                 

If yes, please state when

Where

What decision was made

 

 

Other Agencies

Have you contacted other agencies

                 

Agencies Contacted

 

What action was taken

 

 

Complaint Information

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 the business made to you, ESPECIALLY those that influenced you to deal with the company. Describe events in the order in which they happened.

Complaint Summary*

   

What would you like the business to do to settle your complaint?

   

 


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 that impact the public interest.

The Attorney General, through the Bureau of Consumer Protection, provides a mediation service to consumers where an attempt may be made to mediate your individual consumer complaint if it falls within the jurisdiction of the office. Please be advised that the information you provide will 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. Attached to this complaint form is an informational sheet which will help you in completion of the complaint form and also will explain in greater detail the mediation process.

By completing and submitting this complaint form, I am adopting this as my online signature and I authorize the Bureau of Consumer Protection to contact the party(ies) against which I have filed a complaint in an effort to reach an amicable resolution. I further authorize the party(ies) against which I have filed a complaint to communicate with and provide information related to my complaint to the Bureau of Consumer Protection. I verify that I have read and understand the informational sheet about this process; and, that the information provided is true and correct to the best of my knowledge, information and belief.