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OFFICE OF THE ATTORNEY GENERAL
CONSUMER PROTECTION DIVISION
Landlord/Tenant Complaint Form
* Denotes Required Fields
TENANT INFORMATION
Please complete the following information about the tenant involved in this dispute.
*Last Name: ______________________________________________
*First Name: ______________________________________________
*Prefix (e.g. Mr., Mrs., Ms., Miss): ____________
*Street Address: _______________________________________________
Street Address 2 (if necessary):____________________________________
*City: _______________________________________
*State: ___________________________
*Zip Code: _____________
*Best Telephone Number to Use During the Day: ____________________________
Alternate Telephone Number: ___________________________________________
Email Address: _______________________________________________________
Please enter only the primary email address at which you would like us to contact you. Please type your
address carefully with no extra spaces or characters. An incorrect email address may delay action on your
complaint.
If someone other than the tenant should be contacted about this complaint, please provide the name and
telephone number of the contact person.
Name: ____________________________________________
Telephone Number: __________________________________
How did you hear about our office? _____________________________________________
BUSINESS INFORMATION
Please complete the following information about the business against which you are filing this
complaint.
*Name of landlord or management company (on lease): _________________________________
*Address (Please note: in order to assist you, it is important for us to have the full address of the landlord
or management company. If you are not able to provide the landlord's or management company's address
please write "unknown"): __________________________________________________________
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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
telephone number of the landlord or management company. If you are not able to provide
the landlord's or management company's telephone number, please write "unknown"):
_______________________________________
Alternate Telephone Number: ________________________________
Fax Number: _____________________________________________
Email Address: ______________________________________________________
Web Site Address: ____________________________________________________
Name of Management Company (if any): __________________________________
Address: ___________________________________________________________
Address 2 (if necessary): _______________________________________________
City: ________________________ State: __________ Zip Code: _________
Primary Telephone Number: _________________________________
Alternate Telephone Number: ________________________________
Fax Number: _____________________________________________
Email Address: ______________________________________________________
Web Site Address: ____________________________________________________
Information About the Transaction Involved in this Dispute
How did you hear about the rental property?
Did you pay an application fee? No Yes
What was the amount of the application fee? $ __________
Do you have a copy of the application? No Yes
Did you sign a lease? No Yes
If yes, on what date did the lease go into effect? _____________
What date did you move into the rental property? _____________
Did you pay a security deposit? No Yes
If yes, what was the amount of the security deposit? $__________
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Have you paid other fees? No Yes
If yes, please describe the other fees paid: $ ____________
Have you ever received an eviction notice? No Yes
If you or your landlord or management company have terminated the lease, on what date was the lease
terminated? ___________________
*Briefly describe your dispute:
*What would you like the landlord or management company to do to resolve your complaint?
If "Refund," please state the amount desired: $ __________
If "Other," please describe:
*Do you have a copy of your lease or any other documents that support your complaint? (e.g. rental
application, correspondence from landlord or management company, eviction notice, etc.)
No Yes
Please list the types of documents you have that support your complaint here and send us a copy (no
originals, please) of those documents, following the instructions at the end of this form.
Steps You've Taken to Resolve Your Complaint:
Have you contacted the landlord or management company about your complaint? No Yes
Most recent date on which you contacted the landlord or management company about
your complaint: ____________
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Name of the person to whom you complained: ______________________________
Have you filed a complaint with any other government agency? No Yes
If yes, which agency? __________________________________________________
Has a lawsuit been filed in this matter? No Yes
Please note that while you may file a complaint for informational purposes with this office in addition to
filing a lawsuit, we cannot represent you or provide legal advice on your lawsuit.
If yes, who initiated the lawsuit? __________________________________
If yes, do you have a private attorney representing you in your lawsuit? No Yes
Please note, this office cannot represent you or provide legal advice. If you have an attorney,
you should continue to follow their guidance. If you do not have an attorney, you may wish to
consult one for advice on pursuing this matter.
Instructions for Completing your Complaint:
1. Make a copy of this form for your records.
2. Submit a copy of this form, along with any supporting documents, using one of these methods:
• By mail to one of the addresses listed at the end of the form;
• By fax to 410-576-7040;
• Or by email to mediator@oag.state.md.us
Note: Please remember that it is important for us to have copies of all relevant documents to
properly handle your complaint. If you have any documents that support this complaint (such
as the lease, rental application, correspondence, eviction notice, etc.), please send us a copy of
those documents.
If you have any questions about this complaint form, you may contact our office at 410-528-8662,
You will receive a response during regular business hours.
READ THE FOLLOWING BEFORE SIGNING BELOW: In filing this complaint, I understand the Attorney
General is not my private attorney, but rather enforces laws designed to protect the public from
misleading or unlawful business practices. I also understand that if I have questions concerning my legal
rights or responsibilities, I should contact a private attorney. I have no objection to the contents of this
complaint being forwarded to the business or the person the complaint is directed against. The above
complaint is true and correct to the best of my knowledge.
__________________________________________________ ______________
Your Signature Date
PLEASE MAIL YOUR COMPLAINT TO THE OFFICE LISTED BELOW THAT IS NEAREST YOU.
Baltimore Office
Consumer Protection Division
200 Saint Paul Place
Baltimore, Maryland 21202
(410) 528-8662
Eastern Shore Office
Consumer Protection Division
201 Baptist St., Suite 30
Salisbury, Maryland 21801
(410) 713-3620
Western Maryland Office
Consumer Protection Division
44 N. Potomac St., Suite 104
Hagerstown, Maryland 21740
(301) 791-4780
Prince George’s Office
Consumer Protection Division
9200 Basil Court, Suite 301
Largo, MD 20774
(301) 386-6200
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