Headquarters Office
12300 Lower Azusa Road
Arcadia, CA 91006-5872
(626) 575-5471

South Gate Office
11012 South Garfield Ave.
South Gate, CA 90280
(562) 622-0402

L.A. County Online
Gasoline Consumer
Complaint Form
Last Updated:01/06
You can send us a consumer complaint by using the form below. If your browser does not allow you to view these forms, send us an e-mail message at: feedback@acwm.lacounty.gov

Be sure to include all of the relevant information below.

Personal Information

Name:
Home Address:
City:   State: CA   Zip Code:

Telephone Number:

(  
Please use (XXX) XXXXXXX and NOT (XXX) XXX-XXXX (NO DASH)

Email:


Gasoline Stations
(*)
Indicates required fields

*Station name:
Address:
City:   State: CA   Zip Code:
* Cross Streets: (i.e., Street/Avenue)
* Fuel Type:

  * Grade of Gasoline:

*Pump Number: (A pump number is necessary to follow up on your complaint)

* Please describe the nature of your complaint in the space below.