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Office of the Attorney General

Office of the Attorney GeneralPlease return completed consumer contact form to: Office of Attorney General Pam BondiState of FloridaPL-01, The CapitolTallahassee, Florida 32399-1050 The contact information MUST be provided as we correspond via mail. Incomplete forms cannotbe processed. PLEASE WRITE LEGIBLY. Onlybusiness per complaint Making Complaint: Name, First Name, Middle InitialMailing AddressCity, CountyState, Zip CodeComplaint is Against:Name/Firm/CompanyMailing AddressCity, CountyState, Zip CodeHome & Business Phone, including Area CodeBusiness Phone, including Area CodeEmail AddressBusiness Email or Web AddressHave you retained an Attorney ?Product or Service involved:Amount Paid: $Date of Transaction:I was contacted by:TelephoneMailOtherYe sNoDid you sign a contract or other papers, estimates, invoices, or other supporting documents?Ye sNo(ATTACH COPIES.)

Office of the Attorney General Please return completed consumer contact form to: Office of Attorney General Pam Bondi State of Florida PL-01, The Capitol

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