This page was last updated on: April 23, 2008
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MLM Watchdog(tm)
SCAM WORK SHEET
USE THIS SCAM REPORT AS A TOOL BEFORE MAKING A COMPLAINT
These are the major points any Law Enforcement or Consumer Protection Agency will want
you have to have the answers ready to go or they will put you at the back of the line!
Get all your documents out... keep them in seperate envelope ready to make copies
Print off.... or copy and paste to MS Word, notepad, or wordpad
Your First Name:
Your Last Name:
Age Range:
Street Address:
City:
State or Province:
Country:
Zip Code or Postal Code:
E-Mail Address:
Home Phone:
Work Phone:
Social Security Number: not for scams generally just credit disputes etc
Subject of Your Complaint:
Name of Company You Are Complaining About:
Check If Company Name Is Unknown:
Name of Product You Are Complaining About:
Street Address:
City:
State or Province:
Country:
Zip Code or Postal Code:
Company Web Site:
Company E-Mail Address:
Phone Number:
How Did the Company Initially Contact You?
How Much Did the Company Ask You to Pay?
How Much Did You Actually Pay the Company?
How Did You Pay the Company?
Did You File a Dispute with the Credit Bureau? /Generally not for Scams
Did You File a Dispute with the Credit Bureau More Than 45 Days Ago? /Same as above
REPRESENTATIVE OR SALESPERSON
First Name:
Last Name:
Date Company Contacted You:
Explain Your Problem: (Please limit your complaint to 2000 characters.):
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