New Car Warranty (Lemon Law) Complaint Form

If you would prefer to file your complaint by mail, click here for instructions for using our printed complaint forms.
Please capitalize the first letter of the consumer's name and address and the business's name and address.
CONSUMER INFORMATION
Please complete the following information about the consumer involved in the dispute.

* Denotes Required Fields
*Consumer Last Name:
*Consumer First Name:
*Prefix (e.g. Mr, Mrs, Ms, Miss):
*Consumer Address:
Address 2 (if necessary):
*Consumer City:
*Consumer State:
*Consumer Zip Code:
*Daytime Telephone Number:
Alternate Telephone Number:
Consumer E-Mail Address:
Please enter only the primary e-mail address at which you would like us to contact you. Please type your address carefully with no extra spaces or characters. An incorrect e-mail address may delay action on your complaint.
If someone other than the consumer should be contacted about this complaint, please provide the name and telephone number for the contact person:
How did you hear about our office?

DEALERSHIP AND MANUFACTURER INFORMATION

*Name of Dealership from which you bought the vehicle:
*Address (Please note: in order to assist you, it is important for us to have the full address of the dealership. If you are not able to provide the dealer's address, please write "unknown"):
Address 2 (if necessary):
*City:
*State:
*Zip Code:
*Primary Telephone Number (Please note: in order to assist you, it is important for us to have the phone number of the dealership. If you are not able to provide the dealer's phone number, please write "unknown"):
Alternate Telephone Number:
Fax Number:
E-Mail Address:
Web Site Address:
*Name of the Manufacturer of the Vehicle:

VEHICLE INFORMATION
*Model of the Vehicle:
*Model Year of the Vehicle:
VIN (Vehicle Identification Number):
Purchase Price:
*Date of Purchase. Use mm/dd/yyyy format:
*Mileage on the Vehicle when Purchased:
*Current Mileage on the Vehicle:
*Is the Vehicle Registered in Maryland?:noyes

INFORMATION ABOUT THE PROBLEMS WITH THE VEHICLE

*Please describe the problem(s) you have had with your vehicle. For each problem, please list all of the dates on which you took your vehicle to a dealership for repair and the mileage on the vehicle on the date of repair. Examples:
#1 - Car stalled when accelerating on highway entrance ramp. Took car for repair on: Feb 1, 2003 (mileage 1000), Mar 15, 2003 (mileage 1250), and April 1, 2003 (mileage 1447).
#2 - Trunk leaks. Took car for repair on Feb 1, 2003 (mileage 1000); Feb 10 (mileage 1111) and Feb 25 (mileage 1200)
*What would you like the business to do to resolve your complaint?
If "Other" please describe:

STEPS YOU'VE TAKEN TO RESOLVE YOUR COMPLAINT

*Have you notified the Manufacturer about the problems you have had with your vehicle? noyes
If yes, on what date(s)?
Was your letter to the Manufacturer sent by certified mail, return receipt requested?noyes
What, if any, response have you received from the Manufacturer?
Has the Dealer or Manufacturer suggested submitting your dispute to its arbitration program? noyes
If yes, what is the name of the arbitration program?
Have you agreed to submit the dispute to the suggested arbitration program? noyes
Have you filed a complaint with any other government agency? noyes
If yes, which agency?
Have you contacted an attorney or filed a lawsuit in this matter? noyes

Please note that while you may file a complaint for informational purposes with this office in additional to filing a lawsuit, we cannot represent you or provide legal advice on your lawsuit.

INSTRUCTIONS FOR COMPLETING YOUR COMPLAINT:

*1. Please list all documents that support your complaint (such as the sales contract and repair invoice or the letter you sent the manufacturer notifying it of the vehicle's problems) and send us a copy of those documents, (no originals) along with a copy of this complaint form (all pages please):
2. Review the information you have provided above and make any needed corrections.
3. Click the Submit button below.
4. Print two copies of the Confirmation page.
5. Mail a copy of the Confirmation page (all pages please) along with any supporting documents.
Please note: It is important for us to have copies of all relevant documents to properly handle your complaint. Once we receive these documents, we will proceed with processing your complaint.
* Denotes Required Fields


If you experience a problem while trying to submit your complaint, you may contact our office at 410-528-8662, Monday through Friday from 9:00 a.m. to 3:00 p.m. or send an e-mail describing the problem to: consumer@oag.state.md.us You will receive a response during regular business hours.