Somerset County

Division of Consumer Protection

Eileen Popovich, Director

20 Grove Street, P.O. Box 3000
Somerville, NJ 08876-1262

Telephone: 908-203-6080

Fax: 908-575-3905

Hours: 8:30 a.m. – 4:30 p.m., Monday – Friday

Please read these guidelines first before completing this form

 

CONSUMER COMPLAINT FORM

 

Please provide the following information and click on "Submit" at the end of this form. An investigator from the Somerset County Division of Consumer Protection will contact you for additional information or to set up an appointment to discuss your consumer complaint.

1. Complainant (Consumer)

Last Name
First Name
Street Address
City
State
Zip Code
Home Phone
Daytime Phone
E-mail Address
(required for confirmation)

2. Subject (Business)

Name
Street Address
City
State
Zip Code
Telephone
Number(s)

3. Nature of Complaint

Advertising   Furniture Sales       Mail Order
Appliance Sales/Service Health Club Pet Sales
Automotive Repairs  Home Improvement   Telemarketing 
Automotive Sales/Leasing Internet  Utilities
Other (explain)  

 
Date of transaction
Did you complain to the company?

Yes

No
Response received

4. Preferred Resolution:

Refund
 Exchange
Repair
Contract Rescission

Other (explain)

 

5.  Complaint Referral

5 - If you have referred this complaint to another agency, please name:

6 - Has a lawsuit been filed in Small Claims Court? Yes No

7 - Has a lawsuit been filed in another Court? Yes No

8 - If you have referred this complaint to an attorney, please name:

IF THE ANSWER TO QUESTION 6, 7 AND/OR 8 IS "YES," TO AVOID A CONFLICT OF ACTIONS, THE SOMERSET COUNTY CONSUMER PROTECTION OFFICE CANNOT INTERCEDE ON YOUR BEHALF.

PLEASE PROVIDE A CONCISE DESCRIPTION OF YOUR COMPLAINT. Describe the events in the order they happened:

IMPORTANT!  In order to proceed with your complaint, we require legible copies of all papers pertaining to the transaction such as contracts, invoices, service/work orders, receipts, cancelled checks (both sides), estimates, warranties, bills, advertisements and correspondence to and from the business.  Please forward the above information to: Somerset County Division of Consumer Protection, P.O. Box 3000 Somerville, NJ 08876-1262.  No action will be taken without this documentation!! 

By submitting this complaint form, I certify that the foregoing statements made by me are true.  I am aware that if  any of the foregoing statements made by me are willfully false, I am subject to punishment.  I authorize the Somerset County Division of Consumer Protection to send this complaint form to the company or interested parties and to use the information in any way that is necessary. 

*If you provided us with an email address above, you will receive confirmation within 5 days that your online complaint was received by this Division.