TCCC

Form

The Center For Consumer Law helps consumers settle disputes by informing them of their legal rights and assisting with the resolution of disputes through mediation, and when necessary litigation. Please fill out this form and someone from our office will contact you.

If you would prefer a form in .pdf that you can fill out and send via e-mail or standard mail, click here.

Consumer Information
Name
Address 1
Address 2
City
State
Zip
Home Phone with Area Code A value is required.*required
Work Phone with Area Code
E-mail A value is required.Invalid format. *required
Age
Business’s Information
Name of Business
Address 1
Address 2
City
State
Zip
Phone with Area Code

Name of person you dealt with

Website or
Email Address
What is your Complaint?
Contact with Business
Have you complained to the business?
If yes, where?
What was the business’ response?
Have you contacted another agency or attorney about this complaint?
If yes, please list the name and address of the agency or attorney
What action was taken by this agency or attorney?
My complaint arises from a transaction involving a/an:
First Contact with the Business
If other please specify
If you responded to solicitation in another language, which one?

Where did transaction take place?

If other please specify
Date(s) of transactions
Did you sign a contract?
How much did the company/individual ask you to pay?
How much money is involved?
 

Where did you hear about the Texas Consumer Complaint Center? *required

Please select an item.

Please eleborate on how you heard about us (i.e. What newspaper, what tv channel, what public event)? A value is required.Exceeded maximum number of characters.