Attorney General Logo State of California
Attorney General
Bill Lockyer

Complaint Form
(Print Form Fill Out and Mail)
Department of Justice
Public Inquiry Unit

P.O. Box 944255
Sacramento, CA 94244-2550
(916) 322-3360
(800) 952-5225 California only

I wish to file a complaint against the party named below. I understand that the Attorney General does not represent private citizens seeking private remedies. I am, however, filing this complaint to notify your office of my allegations so that it may be determine if a law enforcement or statewide legal action is warranted.

Complaining Party
Complaint Against
CityStateZip Code
CityStateZip Code
Home Phone Number ________________________

Work Phone Number ________________________
Preferred method of contact:  (circle one)

Home             Work

Have you contacted your local authority?   (circle those which apply)   Police,  Sheriff,  District Attorney,  Grand Jury

Have you contacted another state agency?

___No  ___Yes  If yes, name of agency _____________________________
Have you contacted an attorney?
Is there a court action pending?
___No  ___Yes
___No  ___Yes  If yes, name of Court_______________________________
Have you lost a lawsuit in this matter? ___No  ___Yes
Please provide a factual statement which clearly describes the date, place and nature of the incident which compels you to file a complaint against the above-named party, with this office.

Briefly describe how you believe this office can be of assistance.

___Yes  ___No  I will sign a sworn statement if required.    ____ Check here if additional information enclosed.

Signature ____________________________________     Date ____________________