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Consumer

Charlotte School of Law Complaint Form

This web-form is for current and former students of Charlotte School of Law (CSL). The situation is evolving, but based on the information you provide below we anticipate being able to – at some point – provide you some information on your options. As explained below, by submitting this form you are consenting to the North Carolina Department of Justice receiving certain specific information about your attendance at CSL.

If you are someone other than a CSL student, please fill out a Consumer Protection complaint form.


INFORMATION
First Name:

Middle Initial:

Last Name:

Email Address:

Phone Number:		() -Second partThird part

Mailing Address:

City:

State:

Zip Code:

Start Date at Charlotte School of Law:		Date and timeNow

End Date at Charlotte School of Law:		Date and timeNow

Status:

Student Debt Information
Amount of Student Debt:

Did you pay any tuition in cash or by any means other than federal student loans?:

Please provide any additional information about your situation:

Additional Information
Have you previously complained to the NC Department of Justice about the Charlotte School of Law?:

Have you retained a private attorney?:

Electronic Signature
Electronic Signature:		By typing my name below and submitting this web form, I attest that the information submitted is my own and not that of a third party. Furthermore, I authorize the release of personally identifiable information beyond Directory Information maintained by Charlotte School of Law (“CSL”) or the U.S. Department of Education to the North Carolina Department of Justice for the purpose of processing my complaint concerning CSL. I understand that some of the records held by CSL may be protected under the Family Educational Rights and Privacy Act of 1974, 20 U.S.C. § 1232g, and cannot be released without my written consent. I hereby waive all provisions of the law and privilege relating to the records described in this disclosure. I certify that this consent has been given freely and voluntarily. I may revoke this consent at any time by providing written notice of my revocation to the records keeper of this authorization. This authorization will remain continuously in effect until I withdraw this authorization in writing or for a maximum of one year from the date this form is submitted.

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Charlotte School of Law Complaint Form

INFORMATION

Student Debt Information

Additional Information

Electronic Signature

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