CONSUMER COMPLAINT PAGE 1 OF 2
CONSUMER COMPLAINT FORM
OFFICE OF THE ATTORNEY GENERAL
CONSUMER PROTECTION DIVISION
File your complaint online at https://fortress.wa.gov/atg/formhandler/ago/ComplaintForm.aspx for faster
processing. The Washington State Office of the Attorney General can only process complaints that involve either
Washington state residents or businesses located in Washington state. Information marked with * is required.
I. CONSUMER INFORMATION
* Last Name:
* First Name:
Middle Initial:
* Address:
* City:
*State
*Zip
* Contact Phone: ( )
Alternate Phone: ( )
* E-Mail Address:
Are you a member or former member of the U.S. Armed Forces, Guard, Reserves or a dependent?
(Optional): YES NO
If English is not your first language, what is your first language? (Optional):
For our statistics, please select your age group (Optional): 18-29 30-39 40-49 50-59 59+ Under 18
II. ABOUT YOUR COMPLAINT
* Business Name:
* Address:
* City:
*State
*Zip
* Business Phone: ( )
E-Mail:
Website:
Names/addresses/phone numbers of other businesses involved in your complaint:
Transaction date:
Amount in dispute: $
State your complaint and how you think this complaint can be resolved:
CONSUMER COMPLAINT PAGE 2 OF 2
III. ACKNOWLEDGEMENT & SIGNATURE (Required)*
I understand that by submitting this complaint to the Washington State Attorney General’s Office my
complaint and any response from the business and all communications with Attorney General’s Office will
become public records under state law. Public records are subject to disclosure in response to requests for
public records and my complaint and all related documents may be disclosed to the public. Complaint
information received by this office will be exported into the Federal Trade Commission's (FTC) database,
Consumer Sentinel, a secure online database. This data is then made available to thousands of civil and
criminal law enforcement authorities worldwide. The Attorney General's Office may refer complaints to a
more appropriate agency.
By signing this complaint form, I understand that the Washington State Attorney General’s Office will contact the
party (ies) against which I have filed a complaint in an effort to reach an amicable resolution. I authorize the party
(ies) against which I have filed a complaint to communicate with and provide information related to my complaint
to the Washington State Attorney General’s Office. By submitting this consumer complaint, I understand that the
Attorney General cannot answer legal questions or give legal advice to me and cannot act as my personal lawyer.
I declare, under penalty of perjury under the laws of the State of Washington, that the information
contained in this complaint is true and accurate, and that any documents attached are true and accurate
copies of the originals.
Signature: Date: City: State:
Please Read Important Information: If your complaint is submitted without the above acknowledgment and
declaration signatures, we will not be able to process but will keep on file in our complaint database as a public
record.
Mail Complaints To:
OFFICE OF THE ATTORNEY GENERAL
CONSUMER PROTECTION DIVISION
800 5TH AVENUE, SUITE 2000 SEATTLE, WASHINGTON 98104-3188
PHONE 1-800-551-4636 OR (206) 464-6684 FAX (206) 389-2801
