YourAddress YourCity, State, Zip Code (Youre-mail if sendingvia e-mail) Date Nameof ContactPerson(if available) Title (if available)

CompanyName ConsumerComplaintDivision(if you haveno specificcontact) StreetAddress City, State, Zip Code Dear (ContactPersonor OrganizationName) : Re: (accountnumber,if applicable) On (date), I (bought,leased,rented,or had repaired)a (nameof the product,with serial or modelnumberor serviceperformed)at (location,date andotherimportantdetailsof the transaction) . Unfortunately, your product (or service)has not performed well (or the servicewasinadequate) because (statethe problem) . I am disappointed because (explainthe problem:for example,the productdoesnot workproperly,the servicewasnot performedcorrectly, I wasbilledthe wrongamount, somethingwasnot disclosedclearlyor wasmisrepresented,etc.). To resolve the problem, I would appreciate your (statethe specificactionyouwantmoneyback, chargecardcredit, repair, exchange,etc.) Enclosed are copies (do not sendoriginals)of my records (includereceipts,guarantees,warranties,canceledchecks,contracts,modeland serial numbers,and any otherdocuments) . I look forward to your reply and a resolution to my problem and will wait until (set a timelimit) before seeking help from a consumer protection agency or Better Business Bureau. Please contact me at the above address or by phone at (homeand/orofficenumberswith area code) . Sincerely,

Yourname Enclosure(s)