Wufoo

Electronic Consumer Complaint Form

PLEASE READ THE FOLLOWING INFORMATION FIRST

Completing the form below will allow you to contact the Office of the Attorney General. Certain information is required to process your message. Because of the large volume of e-mails received daily, there may be a delay in responding to your message.

State law does not authorize the Attorney General to give individual citizens legal advice or opinions on statutory interpretation, or to act as their private attorney. The Attorney General serves as the state's chief legal officer responsible for providing legal representation to the State of Rhode Island and protecting the public interest.

Before sending a message, please check to see if your question has already been addressed by the information and forms posted on our website.

Questions with a red * are required.

My name is: First Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Home Phone Number ### - ### - ####
Work Phone Number ### - ### - ####
Business or company you are complaining against: *
Salesperson/Owner
Address of the business or company you are complaining against:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone number of business or company ### - ### - ####
E-mail address of business or company
May we send a copy of this to the business you are complaining against? *
Yes No

If your response is no, we may be prevented from taking any action on your complaint.
May we provide your name and telephone number to the media in the event of an inquiry about this matter?
Yes No

If yes, we will make every effort to contact you prior to releasing your information to the media.
Please explain the entire circumstances surronding your complaint below.
Maximum Allowed: 1500 words. Currently Used: 0 words.
Have you complained to the firm?
Yes No
What was their response?
Maximum Allowed: 1000 words. Currently Used: 0 words.
Was an oral or written warranty given?
Yes No
Did you sign any documents?
Yes No
What was the date of the transaction? MM / DD / YYYY
Total amount of damages:
Maximum Allowed: 15 characters. Currently Used: 1 characters.

List actual loss only.
What was the place of the transaction?

Example: In the store, home, over the internet, etc
Witness to transaction:
Was the product or service advertised?
Yes No
If yes, please indicate the date and how it was advertised:
Maximum Allowed: 1000 words. Currently Used: 0 words.
Do you have an attorney representing you in this matter?
Yes No
Is there any legal action pending?
Yes No
List any other consumer agencies contacted below:
Maximum Allowed: 1000 characters. Currently Used: 0 characters.
Statistical Information

This information is voluntary and will help further assist consumers in the future.
Your age:
Under the age of 60 Over the age of 60
Military/Veteran
Currently in military service A veteran Not applicable
How did you hear about us
Called AG Office Went onto AG website Another Rhode Island State Agency A Rhode Island State Legislator Attended an AG presentation/event Media: Newspaper/TV/Radio An out of state agency Other
If other, please describe where:
Maximum Allowed: 500 words. Currently Used: 0 words.
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Declaration:

By submitting this form electronically, I declare, under penalty of perjury, that the facts and statements contained in this declaration, including any attatched statements, are true, correct, and based upon my personal knowledge. I understand that the Attorney General does not act as a private attorney representing the interest of any particular individual. Any action this Department initiates is on behalf of the public and in the name of the State of Rhode Island
Name First Last
Do Not Fill This Out

Wufoo

Statistical Information

Declaration: