Investor Protection Bureau Complaint Form

  1. Please complete the entire form. Fields with an asterisk (*) are required.
  2. You must include copies of all supporting materials with your submission.
  3. To submit your complaint electronically, click the “submit” button after completing this form.
  4. To submit your complaint in hard copy, CLICK HERE to print the form. To access the complaint form you will need Adobe PDF Reader. You can download Adobe PDF Reader from Adobe Systems.

    Hard copy forms may be mailed or faxed to:
    Investor Protection Bureau
    New York State Office of the Attorney General
    28 Liberty Street
    New York, NY 10005
    Phone: (212) 416-8222
    Fax: (212) 416-8816
     
  5. Submit Franchise Complaint Form here
  6. Consumer Hotline: 1 (800) 771-7755.  For hearing impaired: 1 (800) 788-9898
Your contact details
(ex:12345 or 12345-1234)
(ex:999-999-9999 or 999-999-9999 x9999)
(ex:999-999-9999 or 999-999-9999 x9999)
(ex:999-999-9999)
Details regarding the company and/or individual you are complaining about
(ex:12345 or 12345-1234)
(ex:999-999-9999 or 999-999-9999 x9999)
Specifics regarding your complaint
Did you receive the security you purchased?
Actions taken to date
Have you complained to the company?
If yes, provide the following details:
Have you complained to the individual?
If yes, provide the following details:
Do you have an attorney?
Is there any court action pending?
Status
  • Please attach copies of any supporting documentation, such as advertisements, contracts, proof of payment, correspondence (e.g., letters, emails), etc.
    • You may upload up to 10 files with a total file size limit of 20 megabytes.
    • Accepted document types: TXT, DOC, DOCX, XLS, XLSX, PDF, RTF, PPT, PPTX
    • Accepted image types: BMP, GIF, JPG, PNG
File attachment 1
One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, tif, txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx.
File attachment 2
One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, tif, txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx.
File attachment 3
One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, tif, txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx.
File attachment 4
One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, tif, txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx.
File attachment 5
One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, tif, txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx.
File attachment 6
One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, tif, txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx.
File attachment 7
One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, tif, txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx.
File attachment 8
One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, tif, txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx.
File attachment 9
One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, tif, txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx.
File attachment 10
One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, tif, txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx.
In submitting this form, complainant understands that (please check each box below):
The Attorney General is not my private attorney, but represents the public in enforcing laws designed to protect the public from misleading or unlawful business practices. My filing this complaint does not mean that the Attorney General has initiated (or will initiate) a lawsuit or proceeding on my behalf.
The Attorney General cannot give me legal advice or represent me in court. If I have any questions concerning my legal rights or responsibilities, I should contact a private attorney.
The Attorney General may send a copy of my complaint and any documents I provide to the person or business about whom I am complaining and I authorize that person or business to release information concerning my complaint to the Attorney General.
The Attorney General works with other state, local and federal government agencies to investigate complaints and coordinate law enforcement and may also share my complaint with them. In addition, the Attorney General may use information from my complaint in legal proceedings to establish violations of law.
Any false statements made in this complaint are punishable as a Class A Misdemeanor under Section 175.30 and/or Section 210.45 of the Penal Law.
By signing or typing my full name below, I certify that the above complaint is true and accurate to the best of my knowledge and that any documents attached are true and accurate copies of the originals.