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CONSUMER COMPLAINT

The Attorney General of the State of South Dakota and the Division of Consumer Protection have the authority to investigate deceptive or misleading business/trade practices and take legal action on behalf of the State of South Dakota. Neither the Attorney General nor his staff can act as a private attorney for you. This office is prohibited by law from providing legal advice to private parties. To preserve any legal rights you have, you may wish to contact a private attorney in addition to contacting our office.

Consumer Information

Name Prefix: *
First Name: *
Last Name: *
Your Business Name

Consumer Address

Street Address: *
Address Line 2:
City: *
State: *
Zip Code: *
Primary Phone #: *
Secondary Phone #:
Work Phone #:
Email Address: *
Were you 18 when the transaction occurred?: *

Age Group: *



If you have talked with someone in our office, please list their name:

Firm, Company, or Person of Complaint

Company Name: *
Representative:

Company Address

Street Address:
Address Line 2:
City:
State:
Zip Code:
Company Phone #:
Company Additional #:
How Transaction Was Initiated (Check One): *







If Other, please explain:
If a written ad, what publication?:
If a Radio/TV ad, what station?:
Where Transaction Took Place (Check One): *






If Other, please explain:
Date of Transaction: *
Did you sign a contract?: *

Product or Service: *

Total Price: *
Amount Paid to Date: *
How was the transaction financed?: *
If Other, please explain:

Actions Taken

Actions Taken To Date: *





If you contacted firm about your complaint, who did you contact?:
Firm Reaction:
Date Contacted:
If you have retained a private attorney, please list the attorney's name and address:
If you have filed a complaint with another agency, please specify the agency:

Summary of Complaint

Please describe briefly what you wish to report. Give specific facts in the order they happened with all dates, etc. you can recall. Please attach copies of papers involved - such as advertisements, receipts, contracts, cancelled checks, bills, financing papers and other documents related to your complaint. The documents will be returned to you upon request.(Attach an extra sheet, or typed documents if necessary.)

Summary: *
Who referred you to this office?:
Would you be willing to testify in court, if necessary?: *

In submitting this form, I am giving authorization for the company and its affiliates to discuss and provide account information to the South Dakota Division of Consumer Protection.

The Division of Consumer Protection has my permission to send a copy of this complaint to the person or company complained about. I have read the complaint and hereby certify that the information reported is true and correct to the best of my knowledge, information and belief.

Signature: *
Date: *
File Upload:

State (SDCL 20-13) and Federal (Title VI of the Civil Rights Act of 1964, the Rehabilitation Act of 1973 as amended, and the Americans With Disabilities Act of 1990) laws require that the Office of Attorney General provide services to all persons without regard to race, creed, religion, sex, disability, ancestry or national origin.