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
    120 Broadway
    New York, New York 10271
    Phone: (212) 416-8222
    Fax: (212) 416-8816

  5. 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
Actions Taken To Date
If Yes, provide the following details:
If Yes, provide the following details:
Attachments

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
In submitting this form, complainant understands that (please check each box below):

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.

  Investor Protection and Securities Bureau
New York State Office of the Attorney General
120 Broadway
New York, New York 10271
(212) 416-8222 (phone)
(212) 416-8816 (fax)

Instructions for filing a complaint:

1. Please type or print clearly
2. Please complete the entire form
3. Please enclose copies of any documents relating to this complaint 

COMPLAINT FORM
Consumer Hotline For Hearing Impaired
1 (800) 771-7755
TDD (800) 788-9898
ag.ny.gov

Return To:
Investor Protection and Securities Bureau
New York State Office of the Attorney General
120 Broadway
New York, New York 10271