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COMPLAINT FORM
This form requests for Information about you. Please note that we would require to publish your identity and address details. However, if your complaint is published, only the name of the City will be used on our Web site. See privacy policy for more information. Reports would be displayed on the “ Products Watch” section of the Consumer Online Website and may be published, edited or discarded at the option of Editors of the Site.

Fields with an asterisk are required
*Your Name
*Your Address
*City
*State
*Pincode
*Country
E-mail
Home phone
Work phone
The Anti- Consumer Product or Service

Please indicate the name of the product, service, company, store, Web site or person that you are complaining about. Please be exact as many organizations may have similar names.
Product Food & Safety
Public Utilities Health & Drugs
Financial Services Child Products
Travel & Recreation Services Others
( Please Tick the appropriate section )
Minor Subject :
*Heading/ Title :
Business Name  
Individual you dealt with, if any
Address
City
State  
Zip
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Telephone
*What happened? Use as much   space as you need.
Consequences. Describe the economic or physical damage that resulted.
Consumer Online would follow up with your complaint if feasible and report back with the feedback received. It is sometimes necessary for our staff to contact you in order to determine whether there is a legal remedy or a basis for your complaint. There is no charge for any such consultation.

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