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Towing Complaint Form - Office Of The Attorney General Of Virginia (Consumer Protection Section) Page 4

 SECTION 5 – Full Description of Complaint - Use additional sheets if necessary

( Use additional sheets if necessary )

 SECTION 6 – Disclaimers and Affidavits

•

The information requested on this form and on any

By signing this form, you authorize the Office Attorney of the

subsequent requests for additional information is subject to

Attorney General and any other local, state or federal

the Virginia Government Data Collection and Dissemination

agencies to which we may refer your complaint, to evaluate

Practices Act, Va. Code Section 2.2-3800 et seq.

your complaint, to contact you and to take whatever lawful

•

The information requested on this form is submitted so that

actions are deemed appropriate with regard to your

this Office may determine whether there have been any

complaint.

•

actions in violation of Va. Code Section 46.2-118, 46.2-1217,

By signing this form, you certify that the statements made

46.2-1231 and 46.2-1233.1.

herein or on any attached documentation are true and

•

All information provided to this Office is available for public

complete to the best of your knowledge, information and

inspection under the Virginia Freedom of Information Act,

belief.

Va. Code Section 2.2-3700 et seq., except in the case of

ongoing investigations. Closed complaints will be retained

until they are destroyed in accordance with established

procedures for destroying public records.

Signature of complainant or authorized agent

Date

(Revised 11/12)

Mail to Office of the Attorney General, Consumer Protection Section, 900 East Main St., Richmond, VA 23219 or fax to (804) 225-4378

Towing Complaint Form - Office Of The Attorney General Of Virginia (Consumer Protection Section) Page 4