Facing issues with a vehicle can be an overwhelming experience, whether it's a dispute over a purchase, a warranty claim, or any other related matter. The Form 4683 serves as a crucial tool for individuals in Missouri to file a complaint with the Motor Vehicle Bureau in situations like these. Located in Jefferson City, MO, this form is a way for consumers to officially voice their concerns and seek possible resolutions. It requires detailed information about the complainant, including contact details and preferences about being contacted at work. Furthermore, the form asks for specific information about the vehicle in question, such as year, make, model, and vehicle identification number, along with the purchase details. Complainants must describe the nature of their complaint in detail and state the form of relief they are seeking. It also inquires whether the complainant has previously attempted to resolve the issue with the owner or manager of the business, contacted any other agencies, or even sought legal advice or initiated a lawsuit. The emphasis on attaching copies of all relevant documents, including advertising materials, contracts, warranties, and receipts, highlights the importance of evidence in supporting the complaint. By signing the form, the complainant attests to the truthfulness and accuracy of the provided information, marking a formal step towards resolving their vehicle-related issues.
| Question | Answer |
|---|---|
| Form Name | Form 4683 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | APPLICABLE, Enclose, dashboard, attest |
MOTOR VEHICLE BUREAU
PO BOX 43, JEFFERSON CITY, MO 65105
COMPLAINT
INFORMATION ON COMPLAINANT
FORM
4683
PLEASE TYPE OR PRINT
YOUR NAME
YOUR ADDRESS
CITY
STATE
ZIP CODE
HOME TELEPHONE
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MAY WE CONTACT YOU AT WORK? |
WORK TELEPHONE |
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NO |
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INFORMATION ABOUT THE VEHICLE |
(IF APPLICABLE) |
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VEHICLE YEAR |
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MAKE |
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MODEL |
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VEHICLE IDENTIFICATION NUMBER (On most vehicles, the vehicle identification number is on a small plate on the dashboard on the driver’s side.)
DATE OF PURCHASE
COMPLAINT AGAINST
MILEAGE
AMOUNT
NAME OF PERSON/BUSINESS
ADDRESS
CITYSTATEZIP CODE
HAVE YOU CONTACTED THE OWNER/MANAGER ABOUT THE PROBLEM? IF SO, WHAT WAS THE OUTCOME?
NATURE OF COMPLAINT (DESCRIBE IN DETAIL. USE REVERSE SIDE IF NECESSARY.)
WHAT FORM OF RELIEF ARE YOU SEEKING?
ANY OTHER AGENCIES CONTACTED:
OTHER INFORMATION
HAVE YOU CONTACTED AN ATTORNEY OR FILED A LAWSUIT? |
YES |
NO
IMPORTANT: Enclose COPIES of all documents relevant to your complaint including but not limited to advertising material, titles, contracts, warranties, receipts, cancelled checks, etc.
I hereby attest that the statements made in this complaint are true and accurate to the best of my knowledge.
SIGNATURE |
DATE |
MO