"Consumer Statement - Public Charities/Solicitors" - Connecticut

"Consumer Statement - Public Charities/Solicitors" - Connecticut Download Pdf
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Consumer Statement - Public Charities/Solicitors is a legal document that was released by the Connecticut State Department of Consumer Protection - a government authority operating within Connecticut.

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CONSUMER STATEMENT
For Official Use Only
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
450 Columbus Blvd, Suite 901, Hartford CT 06103-1840
dcp.charitiesenforcement@ct.gov
Fax No. (860) 707-1971
Consumer Information:
Name
Address
City, State and Zip
Email
Home telephone
Cell Phone
If your complaint concerns a request for charitable funds, complete the following:
Soliciting Charity Information:
Name
Address
City, State and Zip
Telephone
If the request for funds was made by telephone:
No
1. Did the caller identify themselves as a paid solicitor? Yes
If yes, what was the name of
the soliciting company?
No
2. Did the caller tell you their name?
Yes
If yes, what was the caller’s name?
What was the date of the call?
Time of Call?
If the request for funds was made by mail, provide a copy of the request with your complaint.
If the request for funds was made in person:
1. Where were you when solicited?
Date of solicitation
2. What was the name of the person who solicited funds from you?
If your complaint concerns the activities of a charitable organization, complete the following:
Charity Information:
Name
Address
City, State and Zip
Telephone
Name, title and telephone number of the person with the organization who has knowledge of your
complaint.
Name, address and telephone number of any other person who has knowledge of your complaint.
Please attach a brief narrative and any other documents to support your complaint.
SIGNATURE
DATE
Note: All complaints are public information. By submitting this complaint, you give the Department of Consumer Protection
your permission to release a copy of this Consumer Statement.
CONSUMER STATEMENT
For Official Use Only
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
450 Columbus Blvd, Suite 901, Hartford CT 06103-1840
dcp.charitiesenforcement@ct.gov
Fax No. (860) 707-1971
Consumer Information:
Name
Address
City, State and Zip
Email
Home telephone
Cell Phone
If your complaint concerns a request for charitable funds, complete the following:
Soliciting Charity Information:
Name
Address
City, State and Zip
Telephone
If the request for funds was made by telephone:
No
1. Did the caller identify themselves as a paid solicitor? Yes
If yes, what was the name of
the soliciting company?
No
2. Did the caller tell you their name?
Yes
If yes, what was the caller’s name?
What was the date of the call?
Time of Call?
If the request for funds was made by mail, provide a copy of the request with your complaint.
If the request for funds was made in person:
1. Where were you when solicited?
Date of solicitation
2. What was the name of the person who solicited funds from you?
If your complaint concerns the activities of a charitable organization, complete the following:
Charity Information:
Name
Address
City, State and Zip
Telephone
Name, title and telephone number of the person with the organization who has knowledge of your
complaint.
Name, address and telephone number of any other person who has knowledge of your complaint.
Please attach a brief narrative and any other documents to support your complaint.
SIGNATURE
DATE
Note: All complaints are public information. By submitting this complaint, you give the Department of Consumer Protection
your permission to release a copy of this Consumer Statement.
Connecticut State Department of Consumer Protection Connecticut Legal Forms United States Legal Forms

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"Consumer Statement - Public Charities/Solicitors" - Connecticut Download Pdf
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