(Do not add space or punctuation after email address)
Date of purchase or contract:
Please check appropriate box if you or your spouse are an active or former duty service member or U.S. military veteran:
Who are you complaining about?
My Complaint is Against (Company or Name of Individual):
Company or Individual's Address:
Company or Individual's City:
Company or Individual's State:
Company or Individual's Zip Code:
Company or Individual's Phone Number:
Email Address (if available):
Company or Individual's Fax Number:
Product or service involved:
Brand name of product (for example, Lysol, Huggies, Duracell):
Size of Product (for example, 14 oz., 40 count, 12 rolls, Four 4-pack, 1 gallon, etc.):
Additional product/item descriptions (for example, extra-duty, caffeine-free, two-ply, jumbo, 20% more, ultra, skim, 80 lb. ready-to-use concrete mix, 2 x 4 x 8 plywood):
Amount of purchase or contract:
Actual amount paid:
How did you pay?:
Have you contacted the business or person?:
Have you contacted an attorney?:
What do you think should be done to resolve your complaint fairly?:
Summary of your complaint. Please attach product images, including advertised price, and receipts:
Note: For uploading more than three attachments in the same submission, please use file compression or "zip" software. For information about using zip software,
If mailing attachments:
Note: Complaints are "Open Records."
Under Iowa law, complaint forms or letters are "open records." The public has the right to review or obtain copies of open records. Also, copies of complaints are routinely sent to the person or business the complaint is directed against. Please contact the Consumer Protection Division if you have questions about the open records law.
I understand that the Attorney General's Office is not my private attorney but represents the public in enforcing laws designed to protect consumers from misleading or unlawful business practices. I also understand I may contact a private attorney for legal advice.