County of Marin

Consumer Complaint Form

Office of the District Attorney
Consumer Protection Division

3501 Civic Center Drive, Room 145
San Rafael, CA 94903  (415) 473-6495

Your Personal Information

Person or Company This Complaint is Against 

Write a brief account of the events in the order in which they occurred. Please include the type of product or service and the names of persons involved. State whether or not a contract was signed. If a product or service was advertised, please state when and where you saw the advertisement. You may wish to include witness names and addresses or phone numbers. Indicate what action you believe would be fair to resolve your complaint. A copy of this complaint may be forwarded to the person or company you have a complaint against for their review.

By checking the Confirmation checkbox below, I am attesting to the truthfulness of the information provided in this form.

Please attach all supporting documents (receipts, contracts, correspondence). File types of .pdf and .jpg are accepted.  If your attachment is larger than 5MB, you'll have the opportunity to forward it at a later time when you are contacted by District Attorney staff.

    © 2017 County of Marin | All rights reserved