SUBMIT A COMPLAINT Report a Data Breach
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Senior Complaint

  • Your Information

  • Victim's Information

  • Who is the complaint against?

  • Complaint Information

  • 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, referring to all contracts, letters, receipts, cancelled checks, advertisements or other papers that will support your claim.
  • Drop files here or
    Accepted file types: jpg, png, pdf, Max. file size: 100 MB, Max. files: 25.
    • 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 Senior Protection Unit may mediate your complaint if it falls within the jurisdiction of this office. Be advised that the information you provide may be shared with the party you have complained about and may be shared with or referred to other law enforcement or regulatory agencies. Your complaint will be kept on file with our office and the information may be used to establish violations of Pennsylvania law. By submitting below:
      1. I authorize the Senior Protection Unit to provide a copy of this complaint to any person or entity about which I am complaining; and to any person or provider possessing medical and insurance records or information related to this complaint.
      2. I authorize the Senior Protection Unit to transfer my complaint to another federal, state, local, or other agency which may have jurisdiction over this matter. This authorization extends to any and all attachments which may be part of my case file, including any medical records the Office may obtain pursuant to a medical release. Additional information may be requested.
      I certify that the information provided in this complaint form, including my identity and any factual statements or allegations, are true and correct to the best of my knowledge, information, and belief.



    Print Complaint Form and send by mail

    The Complaint Process 
    When we receive your completed complaint form, it will be reviewed by our staff. Depending on the nature of the complaint, one of the following courses of action may be taken:

    • In order to expedite the processing of your complaint, it may be referred to another state or federal agency. When your complaint is referred, you will be notified by mail of the name and address of the referral agency so that you may contact them for information concerning your complaint.
    • If your complaint is appropriate for this office, we may contact you and request additional information.

    If you have contracts, receipts or any other supporting documentation you can attach to the bottom online form or fill out the printable, PDF version above and and send all to the below address. Make sure to send copies and not the originals.

    Office of Attorney General
    Senior Protection Unit
    16th Floor, Strawberry Square
    Harrisburg, PA 17120

    You can call the Attorney General’s Senior Assistance Helpline, at 1-866-623-2137, Monday through Friday from 8:30 am until 5:00 pm.