Public Complaint Form

A form is needed to collect complaints of non-compliance to the Department.

Establishment Name (Place of Purchase) or Name of Contractor(Required)

Name

Establishment Phone Number(Required)

Establishment Email Address

Establishment Web Address

Address(Required)

Street Address City County State ZIP Code

Type(s) of Products (Select Product)

Manufacturer

Brand

Model Number

Date of Manufacture

Performance Criteria

Why does the product does not meet the standard?

Is there a label on the product/packaging?

Yes

If yes, please upload an image of the label (if available)

Max. file size: 500 MB.

URL where it is available for sale.

Description

Describe briefly how the model violates an applicable standard.

Your Name(Required)

First Last

Your Phone Number(Required)

Your Email(Required)

Would you like to remain anonymous?

Yes

Your Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Questions?

For additional questions or comments regarding New Jersey’s Appliance Standards, please send an email to appliancestandards@njdepwptest.net.