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Watertown Complaint Form 2013

Watertown Complaint Form 2013

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Published by gblock8666
Complaint form for Fort Drum soldiers in regards to Fort Drum Vehicle Storage LLP
Complaint form for Fort Drum soldiers in regards to Fort Drum Vehicle Storage LLP

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Published by: gblock8666 on Jul 29, 2013
Copyright:Attribution Non-commercial

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11/22/2013

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ATTORNEY GENERAL
ERIC T. SCHNEIDERMAN
STATE OF NEW YORK 
COMPLAINT FORM
OFFICE OF THE ATTORNEY GENERAL
 
Consumer Hotline For Hearing Impaired
BUREAU OF CONSUMER FRAUDS AND PROTECTION
1 (800) 771-7755 TDD (800) 788-9898
 317 Washington
Street
http://www.ag.ny.
gov
 
Watertown
, NY 13
6
01-3
744
 Tel. (
315
)
7
85
-
2444
Fax (
315
)
7
85
-
2294
 1.
PLEASE BE SURE TO COMPLAIN TO THE COMPANY OR INDIVIDUAL BEFORE FILING.
2.
PLEASE TYPE OR PRINT CLEARLY IN DARK INK.
3.
YOU MUST COMPLETE THE ENTIRE FORM. INCOMPLETE OR UNCLEAR FORMS WILL BE RETURNED TO YOU.
 
4.
MAKE SURE YOU ENCLOSE COPIES OF IMPORTANT PAPERS CONCERNING YOUR TRANSACTION.
CONSUMER 
YOUR NAME HOME TELEPHONE NUMBER  STREET ADDRESS
 
BUSINESS TELEPHONE NUMBER 
 
CITY/TOWN COUNTY STATE ZIP
COMPLAINT
 NAME OF SELLER OR PROVIDER OF SERVICESNAME OF OTHER SELLER OR PROVIDER OF SERVICESSTREET ADDRESSSTREET ADDRESSCITY/TOWN
 
STATE ZIPCITY/TOWN STATE ZIPTELEPHONE NUMBER 
 
TELEPHONE NUMBER DATE OF TRANSACTIONCOST OF PRODUCT OR SERVICE
$
 
HOW PAID (Check those which apply)
G
Cash
G
 
Check 
G
 
Credit Card
G
Other DID YOU SIGN A CONTRACT? 
G
Yes
G
 
 NoWHERE DID YOU SIGN THE CONTRACT
?
DATE SIGNED 
WAS PRODUCT OR SERVICE ADVERTISED?
 
G
Yes
G
 
 NoWHERE WAS IT ADVERTISED?DATE ADVERTISED
 
TYPE OF COMPLAINT (e.g. car, mail order, etc. Use the reverse side of this form to provide details)
 
DATE YOU COMPLAINED TO THE COMPANY OR INDIVIDUAL 
G
 
By Mail
 
G
 
By Telephone
G
 
In PersonPERSON CONTACTED JOB TITLE
 
 NATURE OF RESPONSE
 
DATE OF RESPONSE
 
HAS MATTER BEEN SUBMITTED TO ANOTHER AGENCY OR ATTORNEY? (If “Yes,” give name and address)
 
G
Yes
G
 
 NoIS COURT ACTION PENDING? (Please describe as necessary)
 
G
Yes
G
 
 No
 
ADDITIONAL INFORMATION
 
MANUFACTURER OF PRODUCTPRODUCT MODEL OR SERIAL NUMBER ADDRESSWARRANTY EXPIRATION DATEDID BUSINESS ARRANGE FINANCING? (If “Yes,” give name and address of bank or finance company) 
G
Yes
G
NoPLEASE DESCRIBE COMPLAINT ON REVERSE SIDE
YIN
001
WT
(1
1/
10
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