Military and Veterans Assistance Program

Military Veterans Assistance Program Form

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☑ English
Spanish (EspaƱol)

This completed form will route your inquiry or complaint to the Attorney General's Office. Please complete all required fields, click on the "I Agree" button, then click the "Submit" button.

Fields marked with an asterisk (*) are required

*Are you filing this complaint on behalf of yourself or someone else?

SubmittedOnBehalfOf - To be hidden:
☑ Self
On behalf of someone else

*Affiliation with, or relationship to, the complainant?

AffiliationWComplainant - To be hidden:
☑ Dependent
Base Representative
Federal or State Agency
Veterans Service Representative

*You selected Other, please explain here:

*You selected above that you are completing this form on behalf of someone else.

Please enter your contact information.

*Your First Name*Your Last Name
*State*CityZip Code
*Phone Number
(#'s only; no dashes, no spaces)
*Email Address
*Confirm Email Address

Complainant contact information

Penalties can be enhanced for victimizing individuals over the age of 60.
MVOver60 - To be hidden:
*Are you 60 or older?
Yes, 60 or older
☑ No

Penalties can be enhanced for victimizing active duty military, veterans, or their dependents.
MVMilitaryStatus - To be hidden:
*Your Military Status?
Active Duty

*You selected Other for Military Status, please explain here:

*First Name*Last Name
*State*CityZip Code
*Phone Number
(#'s only; no dashes, no spaces)
*Email Address
*Confirm Email Address

Complaint information

*What is this complaint about?
ComplaintCategory - To be hidden:
Debt and Credit
False Affiliation/Stolen Valor

*You selected Other, please explain here:

*Name/Firm/Company Name
Street Address
StateCityZip Code
(#'s only; no dashes, no spaces)

PdOrDonateMoney - To be hidden:
*Did you pay or donate money?
*Date of Transaction
*Amount Paid/Fee
*Payment Method (Select all that apply)
Cashier's Check
Credit/Debit Card
Wire Transfer

PaymentMethod - To be hidden:

*You selected Other, please explain here:
*Description of Complaint
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I understand that your office does not give legal advice. I am filing this complaint to notify your office of the activities of this company so that it may be reviewed for appropriate action.

*You must click the "I Agree" button before you click on the "Submit" button.

I Agree
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  1. All documents and attachments submitted to this agency are subject to public inspection pursuant to Chapter 119, Florida Statutes.
  2. Whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his official duty shall be guilty of a misdemeanor of the second degree, punishable as provided in s. 775.082, s. 775.083, or s. 837.06 Florida Statutes.

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TO REPORT LIFE THREATENING EMERGENCIES, SAFETY CONCERNS, OR IF POLICE ASSISTANCE IS IMMEDIATELY NEEDED, DIAL 9-1-1 or contact local law enforcement authorities who receive and respond to calls for service 24 hours a day.

PLEASE NOTE: The Military and Veterans Assistance Program operators do NOT monitor emails on weekends, holidays, or after weekday business hours (M-F 8AM-5PM). Please do not rely on electronic communications to report urgent emergencies or safety concerns. Dial 9-1-1 instead.

In addition, please report known or suspected abuse/neglect/exploitation of a child or vulnerable adult to the state's Abuse Hotline at 1-800-962-2873 or online at or call 9-1-1.

Otherwise, the Military and Veterans Assistance Program will address online complaints and messages as quickly as possible.