Bureau of Consumer Credit Protection Complaint Form

Important Notice: Disclosure of this information is voluntary. However, failure to supply complete information may result in this complaint not being processed. If you have additional materials relevant to your complaint (contracts, billing statements, collection agency letters, etc.) please mail them to us separately. Do not send original documents. Please be advised the issues described in this complaint will be shared with the Respondent.

The Bureau cannot act on your behalf in court or as a lawyer, give legal advice, or become involved in complaints that are in litigation or have been litigated.

1. Who is the complaint against?
Telephone   (e.g.,. 207-555-1111)
(If unknown, please enter unknown)
Yes No
If you have checked "No," please keep in mind that we are a state regulatory agency that handles complaints relating to the State of Maine. Please consider contacting your own state's Attorney General's office. If you are trying to reach the new federal agency that is known by a name similar to ours (the Consumer Financial Protection Bureau or "CFPB"), CLICK HERE to file a complaint with the CFPB.

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

3. Complaint
If this complaint relates to a debt, include the amount owed.

4. Information About You

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

5. Customer Authorization
Yes No

Please note: Although it is unlikely you will experience any problems using this form, certain non-standard browsers may not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may send an email to: Tammie L. Breton