Online Weights and Measures Complaint Form

Online Weights and Measures Complaint Form

To file an online complaint, complete all required fields listed below.

Wisconsin residents who have a complaint concerning a business in or out of Wisconsin, or anyone outside the state if the complaint involves a Wisconsin business, may file a complaint by completing the following online complaint form.

Important

In order for us to help you with this complaint, please provide copies of important documents, such as the sales receipt, repair order, warranty, and/or cancelled check as soon as possible. You can attach documents to this form, email to datcphotline@wisconsin.gov, fax to 608-224-4939, or mail copies to:

Department of Agriculture Trade & Consumer Protection
Bureau of Consumer Protection
PO Box 8911
Madison, WI 53708-8911

This complaint and the information provided will be used in efforts to resolve the problem and will typically be shared with the party complained against. It may also be used to enforce applicable state laws. Under Wisconsin's Open Records Law, Wis. Stats. § 19.31, this complaint will be available for public review upon request. Omit or mark out any confidential or personal information (e.g., checking account number, credit card number, Social Security Number, date of birth, etc.) prior to submitting information to our office.

* Indicates a required field.

Today's Date:

Your information:

You have the option of remaining anonymous. However, if you do not complete these fields, we will not be able to assist you.

Title:
* First name:  (Required)
 
Middle initial:
* Last name:  (Required)
 
* Email address:  (Required)

(Example: name@wi.gov)    
* Verify email address:  (Required)
     
 
* Street address:  (Required)

(Enter street address or PO Box)  
Address line 2, or Apt #:
PO Box:
* City: (Required)
 
* State:  (Required)
 
* ZIP code:  (Required)
(Example: xxxxx or xxxxx-xxxx)
 
 
County:
Home phone:
(Example: xxx-xxx-xxxx)
Work phone:
(Example: xxx-xxx-xxxx)
Cell phone:
(Example: xxx-xxx-xxxx)
Phone me between 8:00 a.m. and 4:00 p.m. at:
Best time to call:

Information about the business your complaint is against:


* Business name:  (Required)
 
Business address:
Address line 2, or Suite #:
PO Box:
City:
State:
ZIP code:
 (Example: xxxxx or xxxxx-xxxx)
County:
Business email address:
 
(Example: name@wi.gov)
Business website address:
Telephone:
 (Example: xxx-xxx-xxxx )
Name of the person you talked to:
Title of the person you talked to:
 

Information about your complaint:


When did the incident occur?
 (MM/DD/YYYY)
 
How old is the person who had contact with the business?

Motor fuel complaint:


Pump number:
Do you have a recipt?
 If yes, please provide a copy.
Grade of fuel:

Other:  
What was the problem?

Price scanner complaint:


Product purchased:
Brand name:
Size:
Amount paid:
Do you have a recipt?
 If yes, please provide a copy.
Posted/Advertised price:
Scanned/Receipt price:

Other complaint:


Product purchased:
Brand name:
Size:
Amount paid:
Do you have a recipt?
 If yes, please provide a copy.
Did you contact the business about your complaint?
If yes, when:
 (MM/DD/YYYY)     
What happened?

* Please describe your complaint.   (Required)  

* How do you feel this complaint should be resolved?   (Required)  

Attach copies of documents that support your complaint. You may attach up to four documents in the following format: Microsoft Word, Adobe PDF, jpg, gif or Zip files. Each file cannot exceed 1 megabytes.





By submitting this form, I state that the information contained is true and accurate to the best of my knowledge.

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