[Your letterhead, if desired; if not, your return address]

[Date of letter-month, day, and year]

[Recipient's first and last names]
[Company name]
[Street or P.O. box address]
[City, State ZIP code]

Dear [recipient's name]:

I am writing to submit a formal FCC complaint regarding (type of media, program, etc.). More specifically (include full details of your exact complaint, including date and time that offensive situation took place, if applicable).

I am seeking (specify what resolution of the situation that you are seeking). Please respond to me regarding this complaint at (include your contact information). I look forward to hearing from you soon and to a complete resolution of this important matter.

Sincerely,

[Signature]

[Sender's first and last names]