DCA - Online Complaint Form

HomeAbout DCA - Commissioner's Message - Commissioner's Bio - Career Opportunities - Holidays/Closings ScheduleConsumer Resources - How to File A Complaint - How the Law Protects You - Complaint Forms - Mediation Licenses - License Applications - Renewals and Fees - Instant License Check - FAQBusiness Information - Do You Need a License? - NYS Online Permit Assistance and Licensing - Dealing with Consumer Complaints - Handling Violations - Paying FinesPublicationsNews from DCA - RSS Feed - Archived Press Releases DCA Initiatives - Home Improvement Contractors - EITC & Tax Tips - Preventing Teen Tobacco Use - Facts on Internet Sales - Refund Policies - Consumer Campus - Bank on New YorkLawContact DCA

Facebook

Twitter

YouTube

	Adobe Acrobat Reader
	(required to view PDFs)

NOTE: DCA may not be the proper agency to handle your complaint. Please review the Referral List before you file a complaint with DCA.

You can download DCA’s File Your Complaint form in:
English

Please use the downloadable form to file a complaint against a home improvement contractor.

* Required fields must be completed before submitting your complaint.

DCA advises you to contact the business directly in an initial attempt to resolve your complaint. When contacting the business, please keep a log of all telephone calls and copies of letters that you send. If your attempts to resolve the issue yourself are unsuccessful, then we advise you to file your complaint with DCA.

* Did you attempt to resolve your complaint with the business? Yes No
If No, please explain why not.

   If Yes, please let us know who you contacted and when.
   Contact's Name:
   Date of Contact:

Please tell us about yourself

* First Name:

* Last Name:

* Address:

* City:

* State:

Country:

* ZIP Code:

* E-mail:

Phone Number
(night):

Phone Number
(day):

Please put me on Consumer Affairs' e-mail list for Press Release updates

Please tell us your complaint

* Vendor's Name:

* Vendor's Address:

* City:

State:

* ZIP Code:

Phone Number:

Fax Number:

DCA License
Number:

Please complete the following

* Product or service in dispute:
Date of purchase:
Total purchase price: $
* Written contract? Yes No (Please see Important Note below.)
Down payment: $
* Layaway? Yes No (Please see Important Note below.)
Payment made by Cash Check Credit Card
Contacted credit card company? Yes No
Is there a warranty? Yes No (Please see Important Note below.)
* Have you filed your complaint with another agency? Yes No
Name of agency:
Contact's Name:
* Has this matter been decided by Small Claims, Civil, or Supreme Court?
Yes No
(Please see Important Note below.)
Judgment for $ Dated:
What action are you seeking from this agency to resolve this complaint?
Repair of product or service? Exchange?
Completion of terms of contract? Refund?

Please describe complaint

* Briefly and factually state the matter in contention below.

Please enter the letters you see in the graphic below (required): (letters are not case-sensitive)
	Get new image \| What is this?

IMPORTANT NOTE
We will review your complaint to make sure that we are the correct agency to assist you.

If you are sending us your complaint online, please do not mail or fax another copy of your complaint. We will contact you to follow up.

So that we can help you, we'll need you to send us copies of documents about your complaint. These documents include: bill of sale, store receipts, warranties, contracts, cancelled checks, letters to the vendor, judgments, etc. Please be sure to have copies of these documents ready to send to us. Keep originals for your files.