Complaint Information

Fill in what you know. If you don't know or it doesn't apply, leave it blank.

How much did the company ask you to pay:

How much money did you lose:

How did you pay the company:
Select Bank or Wire Transfer Cash Check Credit Card Money Order Other Payment Method (Note in Comments) Prepaid Cards (e.g., Reloadable and Gift Cards) Virtual Currency (e.g., Bitcoin)

How did the transaction start:
Select Email In Person Mail Phone Call Print Media (ex. magazine, newspaper) Social Media (ex. Facebook, Instagram) Text TV or Radio Unknown Website or App

When did the company first contact you (mm/dd/yyyy):