ATTORNEY GENERAL / CFPB COMPLAINT
COMPLAINANT INFORMATION
- Name, address, phone, email.
COMPANY INFORMATION
- Company name, address, website, phone; account/loan/policy numbers if applicable.
PRODUCT / ISSUE TYPE
- [Credit/loan/mortgage/auto finance/insurance/retail/service]; issue category [billing, misrepresentation, collections, data/privacy, etc.].
FACTS (CHRONOLOGY)
- Dates of transactions/communications; what was promised vs. delivered; amounts paid/owed; key documents referenced.
- Prior attempts to resolve with company (dates, responses).
LAWS/CONCERNS (IF KNOWN)
- Potential violations: [UDAP/UDTPA cite if known; FCRA/FDCPA/Reg Z/Reg E/etc. if applicable].
HARM
- Financial loss [$]; credit impact; service disruption; other harm.
REQUESTED RESOLUTION
- Refund/credit/repair/cancellation/correction; cease collections; fix credit reporting; other relief.
ATTACHMENTS
- Contracts, statements, screenshots, correspondence, notices, credit reports, dispute letters.
- Proof of identity (if required by portal).
CERTIFICATION
- Statement of truthfulness per portal requirement; consent to share with company for response.