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This form is available for you to send a complaint, inquiry or request to the Office of Consumer Affairs of the U.S. Department of Commerce. We do not regulate or enforce any consumer protection laws. However, we will attempt to assist you by directing you to the appropriate office(s).

Consumer Complaint/Inquiry/Request Form
Office of Consumer Affairs
U.S. Department of Commerce
Washington, D. C. 20230 		Phone: (202)482-5001/Fax: (202) 482-6007
Consumer Response Line: (202) 482-8021
E-mail: CAffairs@doc.gov
Date:
Name:
Address:
City, State Zip:
Phone:
Fax:
E-mail:
Briefly describe your complaint, inquiry or request.(Do not include personal information such as bank account, charge card, or social security number)
If this is a complaint, what outcome are you seeking?
FOR OFFICE USE ONLY
Source:

Action taken:

Subject Category:
Initials/Date:

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