Consumers’ Rights Complaints Form

Your Name (required):

Contact Number (required):

Email (if applicable):

Address (if applicable):

Date of incident (required):

Describe complaint, giving as much detail as possible:

Please list any witnesses, if any (separate by comma):

DISCLAIMER: All complaints submitted through this form are completely confidential. Information entered into this form is ONLY viewed internally by the Oconee Center Compliance Department.