Consumer Complaint Form

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If these browsers are unavailable to you please download the Consumer Complaint Form and email your complaint to datcphotline@wisconsin.gov.

Download Consumer Complaint Form in PDF Format
Download Consumer Complaint Form in Microsoft Word Format

Wisconsin residents who have a complaint concerning a business in or out of Wisconsin, or anyone outside the state if the complaint involves a Wisconsin business, may file a complaint by completing the following online consumer complaint form.

Important
In order for us to help you with this complaint, please provide copies of important documents, such as the sales receipt, repair order, warranty, cancelled check within 10 days. You can send scanned copies of these items to us by email at datcphotline@wisconsin.gov or by mailing copies to:

Department of Agriculture Trade & Consumer Protection
Bureau of Consumer Protection
PO Box 8911
Madison, WI 53708-8911

Online Consumer Complaint Form
This complaint and the information provided will be used in efforts to resolve the problem and will typically be shared with the party complained against. It may also be used to enforce applicable state laws. Under Wisconsin's Open Records Law, Wis. Stats. § 19.31, this complaint will be available for public review upon request, after this department's action is completed.

* Indicates a required field.

Today's Date:

Your information:
You have the option of remaining anonymous. However, if you do not complete these fields, we will not be able to assist you.

	Select one: Mr.    Mrs.    Ms.    Miss
*	First name:	(required)
*	Last name:	(required)
*	Email address:	(required) (example: name@wi.gov)
*	Street address:	(Either a street address or P.O. Box is required)
	Address Line 2 or Apt #:
	P.O. Box:
*	City:	(required)
*	State:	Select State... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Guam Puerto Rico US Virgin Islands other (required)
*	Zip code:	(required) (example: xxxxx or xxxxx-xxxx)
	County:
	Home Phone:	(example: xxx-xxx-xxxx )
	Work Phone:	(example: xxx-xxx-xxxx)
	Cell Phone:	(example: xxx-xxx-xxxx)
	Phone me between 8:00 a.m. and 4:00 p.m. at: Home    Work    Cell
	Best Time:

Information about the business your complaint is against:

*	Business Name:	(required)
	Business Address:
	Address Line 2:
	City:
	State:	Select Business State... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Guam Puerto Rico US Virgin Islands other
	Zip Code:
	County:
	Telephone:	(example: xxx-xxx-xxxx )
	Name of the person you talked to:
	Title of the person you talked to:
*	What product or service did you buy? (required)

Information about your complaint:

*	Which of the following best describes your first contact with the business?  (required) Select... Person from business called me Person came to my house Information sent by mail Convention or trade show I telephoned the business Radio or TV ad Printed Ad I went to the business Internet Email
*	When did your first contact with the business occur? (MM/DD/YYYY) (required)
	How old is the person who had contact with the business? 0-17       18-61       62 and older
	Was the item advertised? yes no
	When:
	Where:
	Did you sign a contract? yes no
	Contract Number:
	Where were you when you signed the contract?
	Amount paid: $
	Method of payment:	Select... Cash Check Credit Card Financed Money Order Other
	Where did you pay the business?	Select... At my home Over the phone by credit card By mail At the place of business At a convention or trade show At a private home Internet
	Did you contact the business about your complaint? Yes    No

Please describe your complaint. (required)
*

How do you feel this complaint should be resolved? (required)
*

 

By submitting this form, I state that the information contained is true and accurate to the best of my knowledge.

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