Internal Aviation Form

Fields marked with (*) are required.

Source Type *

OAG Rep *

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 5-Digit Zip Code

County *

Best Phone Number *

Alternative Phone Number (Optional)

Email

Enter Email Confirm Email

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

Age (optional)

Airline Information

Business Name *

Person to whom you spoke

Business Address

Street Address Address Line 2 City State 5-Digit Zip Code

Business Phone Number

Date Purchased

Choose month, day, and year of purchase

Purchase Price

Form of Payment

If other system, please describe

Flight Date

Ticket number/reservation number

Flight itinerary (cities & flight #)

Ticket Purchase Information

Please check the box indicating the entity from which you purchased your tickets

Directly through the airline against whom the complaint is filed
Through a third party travel agent (online or otherwise)

If purchased through a travel agency:

Name of travel agency from which you purchased a ticket *

Website of travel agency where ticket was purchased, if applicable

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, including how you heard about the company. Describe events in the order in which they happened.

Please check the box pertaining to the subject matter of your complaint:

Complaint Summary

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

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 BCPAdmin@attorneygeneral.gov.

Complaint File Uploads

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB, Max. files: 25.

What is your race or ethnicity? *

Other Agencies

Have you contacted other agencies?

Yes
No

Agencies Contacted and actions they took (if known)

How did you hear about us? (optional)

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 unfair or deceptive practices. 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. Please refer to the "Complaint Process" block found on this page for additional information 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.

Complaint Submission Date *

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