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FR 1379c OMB No. 71000135 Approval expires August 31, 2019, Please print clearly below. Mail or fax this completed form to: Federal Reserve Consumer Help PO Box 1200, Minneapolis, MN 55480 Fax: 8778882520

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How to fill out a consumer complaint form:

1. Start by gathering all necessary information and documentation related to the complaint. This may include receipts, emails, photographs, or any other evidence that supports your case.
2. Carefully read and understand the instructions provided on the consumer complaint form. Take note of any specific requirements or guidelines mentioned.
3. Begin filling out the form by providing your personal information such as your full name, address, contact number, and email address.
4. Next, provide details about the product or service you are complaining about. Include important information such as the date of purchase, the name and location of the business involved, and any relevant product identification numbers or codes.
5. Clearly describe the nature of your complaint in a concise and factual manner. Include specific details about what went wrong, the problems you encountered, and any attempts you made to resolve the issue with the business.
6. If applicable, provide information about any financial losses you have incurred as a result of the issue, including the amount of money involved.
7. Attach any supporting documents or evidence that you collected in step 1. Make sure to label and organize them properly.
8. Review the completed form to ensure accuracy and completeness. Double-check that all required fields are filled in and that you have provided all necessary information.
9. Sign and date the complaint form, as well as make a copy for your own records.
10. Submit the consumer complaint form according to the instructions provided, whether it be through mail, email, or an online form submission.

Who needs a consumer complaint form:

Consumer complaint forms are relevant to anyone who has experienced a problem or issue with a product, service, or business. They are used to formally document and communicate a complaint to the appropriate organization or authority responsible for addressing consumer grievances. Whether you have encountered a faulty product, received poor service, or been subjected to fraudulent practices, a consumer complaint form can help you present your case and seek resolution. It is important to note that different industries and jurisdictions may have specific complaint forms or procedures, so it is essential to consult the appropriate resources or authorities for the specific complaint form relevant to your situation.

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