If this involves a consumer dispute with a business please complete and submit a Consumer Complaint form. This ensures that we have adequate information to timely process your complaint.
* Starred fields are mandatory in order to process your request.
*Last Name:
*First Name:
Middle Name:
*Address:
*City:
*State:
*Zip:
*Contact phone:
Best day(s) of the week and time(s) of day to reach you by phone:
*Contact e-mail address:
*Confirm e-mail address:
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What language should we contact you in?
*Landlord's Last Name:
*First Name:
Middle Name:
Property/complex name (if rental property is part of a complex):
*Address of property/complex:
*City:
*State:
*Zip:
Landlord's or Property Manager's phone number:
Landlord's or Property Manager's email address:
*What happened that you would like to submit a complaint about?
List any deadlines the Landlord or Property Manager gave you that relate to your complaint:
Did the Landlord or Property Manager give you any documents that relate to this complaint:
Is there anything else we need to know about your complaint?
Some or all of the information submitted on this form may constitute a public record. By selecting YES below, I acknowledge that my complaint and attachments, once submitted, may become a public record subject to review by the Attorney General’s Office for applicable restrictions on disclosure.
If you would rather submit your complaint via phone, you may do so by leaving a message at (360) 633-8915. A staff member will return your call.
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*Name:
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