• Business Misrepresentation Reporting Checklist

    Use this form to report a suspected business misrepresentation incident and provide the details, evidence, and desired follow-up.

  • Reporter Information

  • Format: (000) 000-0000.
  • Preferred Contact Method*

  • Business Details

  • Business type*

  • Misrepresentation Incident Details

  • Date misrepresentation was noticed*
     - -
    2 digit month, 2 digit day, 4 digit year
  • How was it communicated?*
  • Issue types involved*
  • Is the issue ongoing?*

  • Evidence and Impact

  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof

  • Desired Follow-Up

  • Preferred Outcome*
  • Should be Empty:
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