Consumer Complaint Form

The information you provide will be used in our effort to resolve your problem and may be shared with the party against which you have complained. It may also be used to enforce applicable state laws. Under Kentucky's Open Records Act, this complaint will be available for public view upon request. However, certain personal information, such as account numbers, is not subject to the Open Records Act.

Please provide as much information as possible.

You may also request a complaint form be sent to you by emailing the Consumer Protection Division or by calling our toll free number at 1-888-432-9257 and selecting option #3. Please leave your name and address and indicate whether your complaint is against a telemarketer, automobile dealer, or other type of business.

Name *


Address *


City *


State *


ZIP/Postal Code *


County *


Home Phone


Mobile Number


E-Mail


Company or person your complaint is against *


Company address


Company city


Company state


Company ZIP


Company phone


Was a contract signed?


Date(s) of transaction


Product or service involved


Total price


Amount paid


How did you hear about this product or service?


With what other agencies have you filed a complaint?


What action was taken by those agencies?


Have you hired or retained a private attorney?


Have you started court action?


What action will resolve your complaint?


Briefly state the facts of your complaint *