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Application Name - Application Page - Fairfax County, Virginia
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File a Complaint
File A Complaint
Important Information
Fairfax County Consumer Affairs receives complaints occurring in Fairfax County and seeks to resolve them by means of voluntary mediation or arbitration.
If you have a question or need advice about a consumer issue, contact Consumer Affairs at 703-222-8435, TTY 711, to speak to a consumer specialist. Our business hours are 8:00 a.m. to 4:30 p.m. Monday through Friday.
We do not provide legal advice, legal representation, or pursue matters in court.
We do not regulate prices or rent. We do not handle employee vs. employer disputes, discrimination disputes, business vs. business disputes, or cases against government agencies.
All complaint documentation will be shared with the respondent and becomes a part of the public record, which upon request may be disclosed pursuant to Virginia’s Freedom of Information Act.
Disclaimers
By signing this form, you authorize Fairfax County Consumer Affairs and any other local, state, or federal agencies to which we may refer your case, to evaluate your complaint, to contact you, and to take whatever lawful actions are deemed appropriate in your case.
Closed complaints will stay on file for one year from the date of closure and will then be destroyed in accordance with established procedures for destroying public records.
Closed complaints are subject to public disclosure under the provisions of the Virginia Freedom of Information Act, Virginia Code Section 2.2-3700 et seq.
The information requested on the official Consumer Complaint Form, and all subsequent requests by this Branch for additional information, are subject to the Governmental Data Collection and Dissemination Practices Act, Virginia Code Section 2.2-3800 et seq.
Complainant Details
First Name
*
*
Middle Name
*
Last Name
*
*
Street Address 1
*
*
Apartment, Unit or Suite Number
*
City
*
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Zip
*
*
xxxxx (or xxxxx-xxxx)
Country
*
*
Primary Phone
*
*
xxx-xxx-xxxx
Secondary Phone
*
xxx-xxx-xxxx
Email
*
*
Business (Respondent) Details
Name of Business
*
*
Street Address 1
*
*
Apartment, Unit or Suite Number
*
City
*
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Zip
*
*
xxxxx (or xxxxx-xxxx)
Country
*
*
Primary Number
*
*
xxx-xxx-xxxx
Alternate Phone
*
xxx-xxx-xxxx
Email
*
*
Complaint Details
Date of Transaction
*
*
Have you contacted the Respondent?
*
Yes
No
If yes, what was the outcome?
*
Do you have a Signed Contract or Lease?
Yes
No
If yes, what is the Contract Expiration Date?
*
What resolution are you seeking?
*
*
What is the Dollar Amount of the dispute? (If any)
*
What other Agencies/Organizations have you contacted?
*
Please provide a description of the complaint
*
*
Signature
*
*
Typing your name and electronically submitting this form to Fairfax County Consumer Affairs constitutes your electronic signature.
Signature Date
*
*
Do you have any supporting documentation?
*
Yes
No
Please attach documentation here. (Only DOCX, PDF, JPEG files)