Internet Bureau Online Complaint Form

Due to the volume of complaints we receive, any final resolution of this matter may take some time and your patience is greatly appreciated.

Consumer complaints filed with the Attorney General's Office are subject to public disclosure. In order to protect your privacy, we suggest you remove or redact all confidential information from the complaint and documents you submit to us, such as your Social Security number, financial account numbers, and any medical information. To learn how we safeguard your personal information, please read our Privacy Policy.

Complainant Information

Name *

Street Address *

City/Town *

State

Zip *

Home Phone *

Business Phone

Email Address *

Entity Information

Name of Seller or Provider of Services *

Street Address *

City/Town *

State *

Zip *

Phone

Email Address

Website *

Date of Transaction

Cost of Product or Service

Method of Payment

Additional Complaint Details

Did you sign a contract? *

Date Signed

Where Signed

Was the product or service advertised? *

Date advertised

Where/how advertised

Method of complaint to company or individual *

Person contacted (Include title)

Date(s) and nature of response(s)

Has this matter been submitted to another agency or attorney? *

Name

Address

Phone

Email Address

Is court action or other legal proceeding pending? *

Please describe:

Briefly describe your complaint: *

What form of relief are you seeking (e.g., refund, credit, exchange, repair, etc.)?

File Attachments

Please attach any supporting documentation, e.g., webpage printouts, contracts, warranties, bills, statements, cancelled checks, correspondence including email, etc.

Attachment1

Attachment2

Attachment3

Attachment4

You may upload up to 4 files with a total file size limit of 20 megabytes.
Accepted document types: TXT, DOC, DOCX, XLS, XLSX, PDF
Accepted image types: BMP, GIF, JPG, PNG, TIF, TIFF

In submitting this form, complainant understands that:

The Attorney General is not my private attorney, but represents the public in enforcing laws designed to protect the public from misleading or unlawful business practices. My filing this complaint does not mean that the Attorney General has initiated a lawsuit or proceeding on my behalf or that it will do so.

The Attorney General cannot give me legal advice or represent me in court. If I have any questions concerning my legal rights or responsibilities, I should contact a private attorney.

In order to resolve my complaint, the Attorney General may send a copy of my complaint and any documents I provide to the person or business about whom I am complaining and I authorize that person or business to release information concerning my complaint to the Attorney General.

The Attorney General works with other state, local and federal government agencies to investigate complaints and coordinate law enforcement and may also share my complaint with them. In addition, the Attorney General may use information from my complaint in legal proceedings to establish violations of law.

Any false statements made in this complaint are punishable as a Class A Misdemeanor under Section 175.30 and/or Section 210.45 of the Penal Law.

By typing my full name below, I certify that the above complaint is true and accurate to the best of my knowledge and that any documents attached are true and accurate copies of the originals.

Signature *

Date *

User menu

Select a Language Below / Seleccione el Idioma Abajo

You are here

Internet Bureau Online Complaint Form