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    Consumer Complaint Form

  • Office of the District Attorney
    Consumer Protection Division
    3501 Civic Center Drive, Room 145
    San Rafael, CA 94903 (415) 473-6495

  • Your Personal Information

  • Person or Company This Complaint is Against

  • Complaint Description

  • Write a brief account of the events in the order in which they occurred. Please include the type of product or service and the names of persons involved. State whether or not a contract was signed. If a product or service was advertised, please state when and where you saw the advertisement. You may wish to include witness names and addresses or phone numbers. Indicate what action you believe would be fair to resolve your complaint. A copy of this complaint may be forwarded to the person or company you have a complaint against for their review.

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  • Attachments

  • Please attach all supporting documents (receipts, contracts, correspondence). File types of .pdf, .jpg, .jpeg,. png, .doc, .docx, .xls, .xlsx are accepted. If your attachment is larger than 20MB, you'll have the opportunity to forward it at a later time when you are contacted by District Attorney staff.

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