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615 Erie Boulevard West, Suite 104

615 Erie Boulevard West, Suite 104 2026

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The document is a complaint form from the Office of the Attorney General of New York, specifically the Bureau of Consumer Frauds and Protection. It provides instructions for consumers to file complaints against businesses or individuals regarding misleading or unlawful practices. The form requires detailed information about the consumer, the complaint, and any prior attempts to resolve the issue. It emphasizes that the Attorney General does not represent individuals but enforces public laws, and it outlines privacy considerations and legal implications for false statements.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information in the 'Consumer' section. Fill in your name, home phone, business phone, street address, email address, city/town, county, state, and zip code clearly.
In the 'Complaint' section, provide details about the seller or service provider. Include their name, phone number, email address, street address, website, city/town, county, state, date of transaction, cost of product or service, and method of payment.
Indicate whether you signed a contract and provide the date and location where it was signed.
If applicable, fill out the optional section for another seller or provider. Provide similar details as above.
Document your complaint process by noting how you contacted the company and any responses received.
Finally, describe your complaint briefly and specify what form of relief you are seeking before signing and dating the form.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (37 Votes)
2018	4.3 Satisfied (88 Votes)
2011	4.2 Satisfied (47 Votes)

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