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Consumer Complaint Form
To file a complaint with the Consumer Protection Unit of the Macomb County Prosecutor's Office
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* Indicates required question
Complaint number CF-
Your answer
Date
MM
/
DD
/
YYYY
Name of company or firm complained about?
Your answer
Company Address Line 1
Your answer
Company Address Line 2
Your answer
Company City
Your answer
Company State
Your answer
Company Zip Code
Your answer
Salesperson
Your answer
Date of transaction
MM
/
DD
/
YYYY
Name of product or service involved?
Your answer
If product or service was advertised, when?
Your answer
If product or service was advertised, where?
Your answer
Was a contract signed?
Your answer
Name and number of attorney contacted, if any?
Your answer
What adjustments do you consider fair?
Your answer
Your First Name
*
Your answer
Your Last Name
*
Your answer
Your phone number
Your answer
Home Address Line 1
Your answer
Home Address Line 2
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Business Phone number
Your answer
Summary of complaint
*
Your answer
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