Your Information

Name of Person or Company Complaint Is Against

Service Information

REMEMBER TO SEND IN COPIES OF CONTRACTS, RECEIPTS, FRONT AND BACK OF CHECKS, PICTURES, ETC. IF YOU NEED TO ORDER A COPY OF CHECK SEND IN YOUR COMPLAINT WITH NOTE EXPLAINING THAT YOU ARE IN PROCESS OF GETTING THE RECORDS TO US.

County of Summit Office of Consumer Affairs
175 South Main Street, Suite 209, Akron OH 44308
330.643.2879 Fax 330.643.2721

I understand that the Office of Consumer Affairs may send a copy of this form and any or all of the enclosed information to the party complained against or to another agency for resolution.
I affirm that all information provided in this complaint is true and factual.
Please indicate that you have read and agree to the Terms and Conditions
This is to authorize the Office of Consumer Affairs, under the direction and jurisdiction of the Summit County Executive's Office to act on my behalf and discuss the various developments in recent events described above.