City Forms - Consumer Complaint - City of Santa Monica

Note: This form is for use by Santa Monica residents or others complaining about a Santa Monica business.

Please fill in all information below.

    


    Your Name: 
             
          Address: 
          
             City: 
             
            State:   Zip Code: 

   Day Phone: 
       
  Other Phone:

   E-mail:

Complaint against:


         Business: 
       
          Address: 
          
             City:
             
            State:   Zip Code: 
       
            Phone: 
         
          Manager:

Description of complaint (Please be brief, 1,000 character limit):

What do you consider a fair and reasonable settlement?

Other agencies contacted: