FeedBack - Consumer Affairs

Consumer Affairs Questions/Feedback

If you are a resident of Palm Beach County and/or if your dispute concerns a Palm Beach County business entity, submit your dispute form , otherwise use this Feedback Form.

Your Contact Information

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*First Name:

*Last Name :

*Address:

*City:

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*Zip:

Home Phone:

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Work Phone:

Ext:

Email:

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Fax:

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone
(561-712-6600) or in writing.

Business Information

Are you(Select one) : {{item.name}} Name of business/organization :

Is this information related to an active case with Palm Beach County Consumer Affairs? {{item.disp}}

Provide Consumer Affairs Case Number:

Feedback

Explain your feedback or request for assistance (Please be brief, but specific).

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Notification Disclaimer

Information provided to the Consumer Affairs Division is considered a public record. Please do not include Social Security Numbers or bank/credit card account numbers. Communications made through this electronic message system shall in no way be deemed to constitute legal notice to the Palm Beach County Consumer Affairs Division, employees or representatives with respect to any existing or potential claim or cause of action.