Code of Ethics Complaint Form

Please provide the following information related to the incident you wish to report. Your information will be forwarded to the DSA Code of Ethics Administrator who will investigate the situation and contact you directly.

Note: * indicates required field

  * First Name:
 * Last Name:
* Address:
* City:
* State/Province:
* Zip/Postal Code:
* Country:
* Phone: Ex: (202) 555-1212
* Email:
I am filing this complaint as a:
Consumer Direct Selling Representative/Distributor
Date of the incident:
     

Only DSA members are subject to DSAs Code of Ethics complaint process. Please use the select member company link below to identify the company against which youd like to file your complaint. If you are not able to identify the company in question, please feel free to browse our list of members for the company that matches your information, and then use the below search field to identify the company. If you are not able to find a match and are certain the company is a member of DSA, please contact info@dsa.org for more information.

* Member Company Involved:
* Name of the company representative/distributor involved:
Name of the person at the member company who you have spoken to about this incident:
If possible, identify the Code violation you believe has occurred:
* Describe the details of the incident:
Describe the efforts you have made to resolve this matter:
Describe any responses the other parties have made to resolve this matter:
Describe the current status of this complaint:
How would you like to see the matter resolved?:
Please provide any additional information that might be helpful in resolving the situation: