Auto Online Complaint Form

Please complete the form below.   Send copies of all pertinent documents immediately, including purchase/sales contract, buyer's guide, warranty documentation, repair orders, etc. You may send documentation via email, fax, or mail.  
FAILING TO SEND DOCUMENTATION WILL DELAY THE PROCESSING OF YOUR COMPLAINT!

Note that your complaint may be processed by the Consumer Assistance Program (CAP) or the Vehicle and Automotive Distributor's Association's (VADA) Auto Consumer Action Program (AutoCAP) if the dealer named in your complaint is a member of VADA.  Read the AutoCAP FAQs for more information about the AutoCAP program.

Email Address:  consumer@uvm.edu

Fax:  (802) 656-1423

Mailing Address:

146 University Place, Burlington, VT 05405
(802) 656-3183

	*field required
Information about you:
Your Full Name (First and Last):*
Your Address:*
Your City:*
Your State:*
Your ZIP:*
Your Daytime Phone:*
Your E-mail Address:
Are you a senior citizen?	Yes No
Information about the business you are filing your complaint against:
Business Name:*
Person You Dealt With:*
Business Street Address:*
Business City:*
Business State:*
Business ZIP:
Business Phone:
Business E-mail:
Check the type of business that you are filing a complaint about:* (Sales/Service)	Dealer Outside Sales Company Manufacturer Mechanic Inspection Station Warranty Company Service Station Repossession Company Towing/Storage Company Auto Parts Store Car Rental Agency Finance Company Insurance Company Other (clarify in written complaint)
Vehicle Information:
Year:*
Make:*
Model:*
Is the vehicle new or used?*	New Used
Complete Sections Relevant to Your Complaint:
Date Purchased (Sales):
Purchase Price (Sales)
Vehicle Mileage at Purchase (Sales):
Vehicle Mileage Currently (Sales):
Select all that apply to the vehicle you are complaining about:*  (Sales/Service)	Manufacturer's Full Warranty Manufacturer's Extended Warranty Dealer Warranty Service Contract As-Is  (no warranty) I don't know if there is a warranty Other (explain in warranty terms)
What are the terms of the warranty/service contract?
Did you receive a Buyer's Guide? (Sales)	Yes No
Is the issue relative to warranty repairs? (Service)	Yes No
Repair cost incurred? (Service)
Is your car being held due to nonpayment of a disputed repair bill? (Service)	Yes No
If yes to above, please explain:
Check all issues that apply to your complaint and make sure you include all relevant documentation!*	Vehicle Condition (Documentation of representation such as advertisements, buyer's guide, sales agreement) Inspection   (Inspection paperwork and information from the inspection sticker: dates of last inspection, related repair orders to bring vehicle to inspectable condition)     Repair (Repair orders, dealer's "we owe" statement, warranty paperwork) Auto Parts (Receipts, notices of recall) Towing and Storage (Receipts, dates) Advertising or Representations (Advertisements, written representations, sales agreement, buyer's guide) Purchase Price (Sales agreement, window sticker, retail installment contract) Financing (Retail installment contract/financing) Repossession (Retail installment contract/financing, sales agreement, documents from the repossession company)
Explain the Complaint:
Events as they happened:* If service-related, list the services that pertain to this complaint.
Amount of loss:*
Relief you desire:*
Please remember to send related documentation to  consumer@uvm.edu or fax to (802) 656-1423.
How did you find CAP?

Last modified May 21 2013 05:17 PM