File a Credit Union Complaint Form

Submitted by Anonymous on Mon, 2014-01-06 10:26

All information you provide will be disclosed to the credit union listed below. If your complaint involves a credit union that is not regulated by the Division of Credit Unions, 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.

Armed Forces *

Yes

Are you a member or former member of the US Armed Forces, Guard, Reserves or a dependent?

Your Information

First Name *

Last Name *

Mailing Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Opt Out Of Email Communication? *

No, Email Communication Is Fine

Yes, I Prefer Communication Via US Postal Service Communication

In an effort to go paperless, DFI uses email communication. Would you like to opt out of receiving email communication and receive communication via US Postal Service instead?

Credit Union Information

Name of Credit Union *

Location

Branch

Who You Spoke To At Credit Union

Complaint/Problem

Complaint/Problem *

Briefly describe the problem or complaint.

Declaration

By filling in my name and 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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