To file a formal consumer complaint, complete the below affidavit and save a copy of your completed affidavit for your records. You can print, sign, date and submit the affidavit by email (send as a pdf attachment to [email protected]), fax to 786-469-2303 or mail to the address at the top of the affidavit.
You may also e-sign the complaint affidavit by placing a “/s/” at the beginning of each signature block and typing your full name and date. Save the executed complaint affidavit and submit by email as indicated above. Note: an electronic signature has the same force and effect as a written signature, pursuant to Section 668.004, Florida Statutes. If you e-sign, your signature should look like the following: /s/ Jane Doe.
Whether you print and sign or use an e-signature, you will need to attach to the same email/fax, or include in the same envelope, any supporting documentation for your complaint, such as receipts, contracts, pictures, a timeline of events, etc.
Your temporary complaint number will be the last four digits of the telephone number provided. Write this number on any supporting documentation sent to the mediation center. A permanent number will be assigned after the complaint is received.
By submitting a complaint affidavit, you are declaring under penalties of perjury, that you have read the complaint affidavit, that the facts stated in it are true, and that any supporting documentation submitted are copies of genuine documents.
- It is the complainant’s responsibility to submit copies of any documentation (invoice, receipt, contract, warranty, etc.) that support the complaint allegations.
- A copy of each complaint and any supporting documentation submitted will be sent to the business operator for their response.
- Consumer complaints and supporting documentation are public records, and these items are subject to disclosure pursuant to Florida’s public records laws.
Note: Whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor of the second degree, punishable as provided by Florida Statutes.
