Price Gouging Form

Hudson County

COUNTY OF HUDSON, NEW JERSEY
DEPARTMENT OF LAW
OFFICE OF CONSUMER PROTECTION

Craig Guy
County Executive

Donato J. Battista
County Counsel

567 Pavonia Avenue
Jersey City, NJ 07306
Phone: (201) 795-6295
Fax: (201) 795-6468

Steve Krywinski
Chief

Alberico De Pierro
Asst. County Counsel

COMPLAINT REPORTED BY:

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Email Address *

COMPLAINT REPORTED AGAINST:

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Name and title of company agents and/or employees: *

Describe the facts below of the complaint with specifics. Attach any and all documents, photos, etc., related to this complaint, if applicable. *

Previous Price of Item (if known)

Current Price of Item *

I certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment.

Signature *

clear

Date *