Reclaim — File Your Complaint

Your Information

Tell us about yourself so we can build your case.

Full Name *

Email *

Phone

Address

Company Details

Who are you filing a complaint against?

Company Name *

Company Address

Company Email

Company Phone

The Issue

Describe what happened in detail.

Issue Type *

When did this happen?

Amount Involved

Describe the issue *

Steps Already Taken

What have you already tried to resolve this?

Contacted company by phone Contacted company by email Visited store/office in person Sent written complaint letter Filed complaint on company website Contacted consumer protection agency Disputed charge with bank/credit card Consulted a lawyer No steps taken yet

Supporting Documents

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Review & Submit

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Your Information

Name:

Email:

Phone:

Address:

Company

Company:

Address:

Email:

Phone:

Issue

Type:

Date:

Amount:

Description:

Your Information

Company Details

The Issue

Steps Already Taken

Supporting Documents

Review & Submit

Your Information

Company

Issue

Steps Taken

Documents