On-Line Consumer Complaint Form
The Tennessee Division of Consumer Affairs accepts complaints from residents of Tennessee, and from people who have had problems with a business located in the state of Tennessee.
Thank you for reporting this problem to the Tennessee Division of Consumer Affairs. Although this office does not represent individual consumers, it will attempt to mediate your complaint.

To file your complaint, please fill out all sections of the form below. Provide as much information as possible. Select the Submit button at the end to forward the information to us.

All fields marked with an asterisk (*) are required. If you have supporting documents, receipts, canceled checks or a contract you must go back and use the printable complaint form and either fax or mail that form with the required documentation.


Please be advised if you file a complaint or inquiry, the information you provide will be treated as public record.  This means anyone who requests to see it may be able to do so.  As a result, you should omit, mark out or otherwise eliminate any confidential or personal information such as social security numbers prior to submitting it to the Division of Consumer Affairs.

Section I: How Do We Reach You?

Your Contact Information
*Your name
*Address
*City
*State or Country (if outside USA)
*ZIP Code
*(Tennessee Residents only) County
Home Telephone
Work Telephone
*E-mail Address
Best Contact Time




Section II: Who is Your Complaint Against?

Business Contact Information
*Name of Business
Contact Person
Anyone Else?
*Address
*City
*State or Country (if outside USA)
*ZIP Code
Telephone
Fax
Website address
E-mail address
Type of Product or Service




Section III: What Happened?

Details of Incident
*Amount involved $ 
How did you pay?
  If method of payment chosen is other, please explain.
*Date of Transaction
*Have you contacted the business
about this complaint?
*When did you contact the business? Give the names of the people you spoke with and the dates.
*What did you ask the business to do?
  If you chose "other" please explain:
*What did the business do?
List all agencies you have
contacted about this complaint?
*Have you or the business filed a lawsuit regarding this complaint?
Was this product or service advertised?
If yes, when and where was this product or service advertised? Please provide a copy of the advertisement, if available.
 *Briefly describe your complaint and include all important facts. Use Chronological order, by dates.

If you have supporting documents, receipts, canceled checks or a contract, you must go back and use the printable complaint form and either fax or mail that form with the required documentation.




Section IV: Automobile Complaints

Required Information for Automobile Complaints Only
Is this an automobile complaint? If so, complete below. **
**Year
**Make
**Model
**Vin



Section V: Final Step

By submitting this information, I hereby attest to the accuracy or truthfulness of the content. 

By submitting your complaint you authorize the Tennessee Division of Consumer Affairs to send a copy of your complaint to the business
and understand this complaint may be used in legal proceedings brought under the Tennessee Consumer Protection Act.

*Date       *Signature (Please type your name)

If you hire an attorney and/or file a private lawsuit, you have a limited time to sue under the Consumer Protection Act.
You have one (1) year from the time you found out about the deceptive act or practice, and no more than five (5) years
from the time the deceptive act or practice occurrred. Consult a private attorney regarding your legal rights.

Once all fields are filled in, click on the submit button below.

   



All complaints submitted to the Tennessee Division of Consumer Affairs are subject to the
Public Records Act, T. C. A. Title 10, Chapter 7.
Division of Consumer Affairs
500 James Robertson Parkway, Fifth Floor
Nashville, TN 37243-0600
(800) 342-8385 (Consumer Hotline for Tennessean's only)
(615) 741-4737 (Consumer Hotline)
Fax: (615) 532-4994
Questions? Contact us at: Consumer.Affairs@state.tn.us
IN-0980 (Rev. 12/07)