Consumer Affairs Online Complaint Form



Step 1 - Provide us with information about yourself

First name is required.

Last name is required.

Address is required.

City is required.

State is required.

Please specify other state.

Zip code is required.

Zip code should be ##### or #####-####.

Please provide a way for us to contact you --- either phone number, cell phone or email.

Phone number, cell phone or email is required.

Phone number, cell phone or email is required.

Phone number, cell phone or email is required.

Please enter a valid email address.

The following information will help us better serve the consumers of Cuyahoga County, it is voluntary.

 

STEP 2 - Provide us with information about the Business or Individual the complaint is filed against


Please enter Business or Individual Name below.

Name of business is required.

Please provide as much of the following information about the business as you can

Address is required.

City is required.

State is required.

Please specify.

Zip code is required.

Zip code should be ##### or #####-####.

Please enter a valid email address.

Please enter a valid URL.

Please enter Business or Individual Name below.

Please enter the name of the business.

Please provide as much of the following information about the business as you can.

Please specify.

Zip code is required.

Zip code should be ##### or #####-####.

Please enter a valid email address.

Please enter a valid URL.

 

STEP 3 - Provide us with information about your complaint

Description of complaint is required.

Select the type of first contact

Contact description is required.

Please enter a valid date (mm/dd/yyyy).

Did you sign a contract is required.

Is the complaint about a payment is required.

Amount should be a number with no dollar signs or commas.

Amount should be a number with no dollar signs or commas.

Please enter a valid date (mm/dd/yyyy).

Have you complained to the company is required.

Please enter a valid date (mm/dd/yyyy).

Have you contacted another agency or attorney is required.

Document size is limited to 9 mb.

  • {{file.FileName}}

Please select a valid file type (Word, Excel, PDF, text, or image file) no larger than 9MB.


 

Step 4 - Confirm and Submit

Please review all of the information you have entered before clicking the "Submit Complaint" button. You will not have a chance to modify your complaint online once it has been submitted.

We may ask you for additional supporting documentation such as contracts, warranties, bills, cancelled checks or correspondence. If you'd like to submit additional documents right away, you can email them to consumeraffairs@cuyahogacounty.us or mail them to us at Cuyahoga County Department of Consumer Affairs, 2079 East 9th Street, Cleveland, Ohio 44115. Please include the complaint number you'll receive after you submit this complaint.

TERMS AND CONDITIONS

In filing this form, I understand that the Cuyahoga County Department of Consumer Affairs (DCA) is attempting to mediate my complaint. I also understand that if I have any questions concerning my legal rights or responsibilities I should contact a private attorney. I hereby authorize the DCA to work with the appropriate government and private sector entities on my behalf, including requesting and reviewing appropriate documents, to attempt to resolve my dispute. I have no objection to contents of this complaint being forwarded to the business or person the complaint is directed against. I further authorize the party(ies) against which I have filed this complaint to communicate with and provide information related to my complaint to DCA. The above complaint is true and accurate to the best of my knowledge.

Please agree to terms and conditions.

We have recieved your complaint. Your complaint number is {{ctrl.ComplaintNumber}}.

Someone from our office will be contacting you about your complaint. If a new development occurs that you would like to tell us about, or if you'd like to check on the status of your complaint at any time, feel free to email us at consumeraffairs@cuyahogacounty.us or call us at 216-443-7035

We're testing a new complaint system. If you don't hear from us within three business days, please contact us at 216-443-7035 or consumeraffairs@cuyahogacounty.us to check the status of your case. Thank you for your patience.

You can click on the link below to view a summary of your complaint. Print or save a copy of the the summary for your records before you exit this screen

Complaint Summary Report