Virgin Islands
You are filing a complaint against a business
Complainant/Contact Information

Validation Error

You must correct the following error(s) before proceeding:

Anonymous - Complainant providing information to DLCA only.
* First Name:  * Last Name: 
* Address1:  Contact Phone #: 
Address2:  Email: 
* City: 
* Country:  Province: 
* State:   *  Zip:  
Business Information
* Street1:  Street2: 
* City: 
* Country: 
* State:   *  Zip:  
Owner Name [Min 4 characters]
Business/Trade Name Select a Business from the list

Product/Service Information
Description Cost Purchase Date Receipt #

Complaint Information
* Complaint Description[Max 2000 characters]
* Did you try to resolve the issue with the business/individual? Yes   No
* Who did you complain to?

* What was their response?[Max 2000 characters]

* How do you want this complaint resolved?[Max 2000 characters]

* Did you sign any documents/agreements/contracts? Yes   No