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Maine.gov > PFR Home > Consumer Credit Home Page > Consumer Complaint Form

State of Maine
Bureau of Consumer Credit Protection

Confidential Complaint Form

If you have additional materials relevant to your complaint (contracts, billing statements, collection agency letters, etc.) please mail them to us separately.

Consumer Credit Protection
35 State House Station
Augusta, ME 04333-0034 		Tel:
Toll Free:
Fax: 		(207) 624-8527
1-800-332-8529
(207) 582-7699

Please note: Although it is most unlikely that you will experience any problems using this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may send an email to: David.M.Leach@maine.gov

Disclaimer: We cannot process your complaint unless you first have contacted the business and tried to resolve the issue on your own.
1. Who is the complaint against
 
Telephone   (e.g.,. 207-555-1111)
(If unknown, please enter unknown)

2. Name of the primary person you dealt with
(Please list any additional people in the complaint details area.)
 

3. Complaint
 
 
Yes No
 

4. Customer Authorization
 
Yes No

5. Credit Report Complaints
 
Yes No
 
If yes, please list date of birth:
 
  (e.g., 123-45-6789)
 
The information you provide will be deemed confidential and neither the content nor the source of the information will be available for public inspection unless you consent to its release, the Bureau of Consumer Credit Protection receives a subpoena or the Bureau of Consumer Credit Protection institutes formal proceedings.

6. Information About You

Mr. Ms Mrs.
Telephone (Daytime)
  (e.g., 207-555-1111)		 ext.
Telephone (Evening)   (e.g., 207-555-1111)
Fax Number   (e.g., 207-555-1111)
Today's Date