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Consumer Protection
1-800-472-2600 within ND only

BCI Tip Line
1-800-472-2185 within ND only

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File a Complaint

Your Information

Name: *

Address: *

City: *

State: *

Zip Code: *

Daytime Phone Number: * cell home work *

Work Phone Number:

Our office is open only during regular business hours, M-F 8:00 AM-5:00 PM central time

Additional Contact Number: cell home work

Email Address: *

Confirm Email Address: *

Age: Optional (For Statistical & Enforcement Purposes Only.)

Sex: Male Female -- Optional (For Statistical & Enforcement Purposes Only.)

Please provide as much information as possible - it will help to review and process your complaint

Information About The Business

Name of Person or Business Complained Against: *

Address:

City:

State:

Zip Code:

Telephone Number(s):

Fax Number:

Website:

Email Address:

Complaint Details

When filling out this form, please keep in mind that a copy of this complaint form may be forwarded to the party or firm complained against.

Date of Transaction:

Product or Service Involved:

Name of person(s) with whom you dealt, if any.

Amount of money you have already paid:

Amount of money person or firm says you still owe:

First contact between you and person or firm (Check the most appropriate answer)

I contacted or went to the firm's regular place of business.
The firm contacted me in person at my home or place of work.
I contacted or went to the firm's temporary place of business.
I received a telephone call from the firm.
I responded to a radio/TV ad.
I responded to a written advertisement.
I received information in the mail from the firm.
Yellow pages of telephone book.
On the Internet.

Where did the transaction take place? (Check the most appropriate answer)

At the firm's place of business.
At my home.
Away from the firm's place of business.
Over the telephone.
By mail.
On the Internet.
There was no transaction.

Did you sign a contract or written agreement? No Yes -- If yes, we may contact you to obtain a copy.

Did you receive a contract or a receipt? No Yes -- If yes, we may contact you to obtain a copy.

Have you complained to the person or business? No Yes -- If yes, briefly explain the result.

You have characters left.

Have you contacted a private attorney or another agency? No Yes -- If "Yes", identify.

Is court action pending or completed? No Yes

Explain the facts and circumstances of your complaint *

Character limit: 2000

You have characters left.

Explain how you would like your complaint resolved? *

Character limit: 400

You have characters left.

* I understand that my complaint is a public record and that a copy of my complaint my be provided to the business so that it may respond to my complaint.

* I understand that the Attorney General is not my private attorney and that the Consumer Protection division advocates on behalf of the state of North Dakota by enforcing laws prohibiting fraudulent or deceptive business practices. If my complaint does not fall under the jurisdiction of the Consumer Protection division, I understand I may be referred to a different entity.

* I certify that the information provided on this form is true and correct to the best of my knowledge.