Consumer Protection Agency e-Service

THE CPA CONSUMER COMPLAINT FORM
A Consumer Action Tool from CPA

THE CONSUMER COMPLAINT FORM

If you have . . .

  1. Been offended by the unwillingness of a business to settle your complaint
  2. Spoken directly with the business, asking for the resolution you want and giving them the opportunity to make it right for you and they still have not done so
  3. Written to the business, stating your problem and making your request for resolution and they still have not done so
NOW . . .
IT'S TIME TO FILE A COMPLAINT WITH
CONSUMER PROTECTION ASSOCIATION OF AMERICA

Simply complete the information below and submit it to CPA along with payment of the $35.00 fee. We will contact you and the business to begin the official complaint process. We will want you to send us copies of your communications with the business, copies of invoices or contracts, and copies of other notes in your file. But, wait until we request them to send them to us. Your first step is to complete the form below...

CPA consumer members receive a limited number of free complaints with their membership. If you are a consumer member, enter your member number and we will notify you if there is any charge.

Click here for information on CPA's Consumer Membership

1. Consumer Information
CPA Member No: (CPA Members please include your membership number; though not mandatory, it will help us process the complaint.)
First Name: Middle Initial: 
Last Name:
Home Address (Street):
Mailing Address (If Different):
City: State: 
Zip Code: -  ("Plus 4" part of Zip is optional)
Phone (Day):
Phone (Evening):
E-mail:

 
2. Respondent, Business or Person Complained About
Company Name:
Address (Street):
City: State: 
Zip Code -  ("Plus 4" part of Zip is optional)
Name of Owner:
Name of Manager:
Name of Salesperson:
Name of Parent Company:
Address or any other helpful information about Parent Company:

 
3. Describe the Incident

 
4. Dispute Resolution
What do you believe would be a solution that would be fair for all parties?
(Please Explain) 

 

 
5. Submit Your Complaint

 

CONSUMER PROTECTION ASSOCIATION OF AMERICA

CPA is a member organization that invites businesses and their customers to join together to change how business will be done into the 21st century. CPA gives members and others effective tools for communication and complaint resolution no matter where or when the transaction takes place. Whether you're a business or a consumer, when someone promises to provide you with a product or service, you deserve to get what you expect!

When you receive more than you expect...let the business know with CPA's Thank You! card. And, when you don't, use CPA's You Blew It! card. As a member, you receive copies of both to hand out in person...or, send them via e-mail using the links provided.

If you need to, file a complaint following CPA's guidelines and sample complaint letter. And, if the business still doesn't do the "right thing", you can file a formal complaint with CPA. We can even provide formal arbitration services if needed.