CPD Consumer Claim Form

Please complete the form below and submit to cpdinfo@faybiz.com if you believe a business is practicing unethically. NOTE: Mediation can ONLY be facilitated on claims regarding CPD CERTIFIED businesses.

Consumer Information - First and Last Name *

Address Block - US

Address Line 1

Address Line 2

City

Zip/Postal Code

Phone:

Business Name *

Address Block - US

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Phone:

Nature of Complaint: *

Fraud or Scam Advertising/Marketing Practices Data Privacy/Security Product/Service Quality Billing/Refund Dispute Other (Please specify in description))

Please check the value that most closely identifies your complaint.

Description of Complaint: *

Include a detailed description of the issue, including dates, parties involved, and any relevant documentation or evidence.

Resolution Sought:

Explain what you would like to see as a resolution to your complaint.

Additional Information:

Include any additional information or documentation that supports your complaint.

Signature and Date: *

Declaration: By signing this form, I hereby declare that the information provided in this complaint form is accurate and complete to the best of my knowledge. I understand that the Consumer Protection Division will review my complaint and take appropriate action.

CPD Consumer Claim Form

Greater Fayetteville Chamber