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File a Gasoline Price Gouging Complaint Online
You can use this form to report any gas price issues you encounter.
Required Fields are noted in RED
.
Consumer's Information
Name:
Address:
City:
State/Province:
Zip:
E-mail Address:
Phone:
Gasoline Station Information
Station Name:
Address:
City:
Zip:
Grade of Gasoline Purchased:
Regular
MidGrade
Premium
other
Price per Gallon paid:
$
Total amount of purchase:
$
Date of purchase:
Format Example: mm/dd/yyyy
Time of purchase:
Format Example: 1 pm
Comments:
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