Price Gouging Complaint Form

In order to report suspected price gouging, please complete the following form. Please provide as much information as possible.

Today’s Date:

* Consumer Name:

* Phone Number:

* Consumer Address:

* Email Address:

* County:

* When did the price gouging take place?

* What type of price gouging did you experience?

If Other, please specify:

* Actual Product:

Example: Clorox wipes, specific item

Price before the State of the Emergency:

Example: $5.25

* Price after State of Emergency:

Example: $10.50

* Retailer Name:

Retailer Address or Location:

* City:

Zip Code:

Please briefly explain the situation:

ATTORNEY GENERALDANIEL CAMERON