File a Bank Complaint Form

Submitted by Anonymous on Mon, 2013-12-23 14:18

All information you provide will be disclosed to the bank listed below. If your complaint involves a bank that is not regulated by the Division of Banks, then the matter will be forwarded to the appropriate governmental regulatory agency.

Public Records Disclosure *

Keep Information Exempt

Do Not Keep Information Exempt

The Washington Public Records Act (PRA), RCW 42.56, may require disclosure of a complaint after a file is closed. If you choose, you may keep your identifying information exempt from disclosure under the PRA. Please note that this exemption does not necessarily restrict the release of your identifying information pursuant to a court order, subpoena, or during litigation.

Your Information

Your Name *

Mailing Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Bank Information

Name of Bank *

Location

Branch

Who You Spoke To At Bank

Complaint/Problem

Complaint/Problem *

Briefly describe the problem or complaint.

Declaration

By filling in my name and the date below, I declare, under penalty of perjury under the laws of the State of Washington that the information contained in this complaint is true and accurate and the information may be used to further investigate the complaint.

Name *

Date *

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