Consumer Complaint Form

Consumer Complaint Form

Please note: The Department of Consumer and Regulatory Affairs requests your name and contact information in order to complete a thorough investigation into your matter, but we maintain the strictest confidentiality for all investigations. This form should also be used to report suspected instances of price gouging associated with the Coronavirus as well as reports about businesses operating outside of the Mayor’s Orders during the public health emergency. Select the category for "Mayor’s Order COVID-19" for these types of complaints. For the latest information about reopening, including relevant guidance, please go to https://coronavirus.dc.gov/.

Did this business transaction occur in Washington,DC?

Did this transaction occur three or more years ago?

Is this complaint against a banking/financial institution?

Estimated Transaction Value

Tell us about yourself

Are you a DC resident

Complainant Name

Street

Suite/Apt

City

State

Postal Code

Complainant Email Address

Complainant Phone Number

Best time to contact you

Best method to contact you

Source

Tell us about your complaint

Type of Complaint

State

Date of Violation

Street

Suite/Apt

City

State

Postal Code

How did you pay?

Have you contacted the business about your complaint?

Have you or the business filed a lawsuit because of your complaint?

What other agencies have you contacted?

Describe your complaint in detail

Upload any records/photos that support complaint

Next Steps

Would you like the Department of Consumer and Regulatory Affairs to contact the business to try to resolve your complaint?

If not, may we still share your complaint with the business?

If appropriate, may we share the complaint with other law enforcement agencies?

I understand that by submitting this complaint, I affirm the truth of the information provided.

Signature (Please type your name)

DATE