Weights and Measures - Gas or Fuel Purchase Complaint

* Required Field

Date of the Incident

Consumer Name

*Consumer Phone Number

Only used for questions about the complaint

Business Name

Business Address

Business City

Select a choice

Type of Complaint

Street sign - Misleading or unreadable

Pump display - Price error

Pump display - Fuel amount error

Pump display - Unreadable display

Pump display - Charged for fuel before or after pumping

Safety issue - Fuel leak, faulty shut-off, etc.

Other...

Pump number and Octane Grade or Level

Tell us what happened

Do you have the transaction receipt?

Yes

Please upload your file

Details of Complaint

Do you want to know our inspection results?

Yes, call me

Yes, email me

*Email Address

New code

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