We have found complaints can normally be resolved if the consumer contacts the company directly. If you have not already done so, please contact the company and attempt to resolve the problem.

If direct contact is unsuccessful or you are not satisfied with the results, please fill out this form and send it, along with any copies of the company’s response and any other appropriate documentation, to the Division of Consumer Services.

Your Complaint will be promptly acknowledged, and you will be notified of the final disposition.

Your Information

The Washington State 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 by checking this box. Please note that this exemption does not necessarily restrict the release of your identifying information pursuant to a court order, subpoena, or during litigation.

Disputed Payday Loan Company Contact Information:

Information about the company with which you have disputed a transaction(s):

Attorney Information

Disputed Payday Loan Transaction Description and Details

Disputed Payday Loan Transaction History

(ACH, Direct withdrawal, cash, postdated check, other)

* If any of the above answers are “yes” we may request a copy of that item

Identify Additional Problems You Are Having With The Company

Did You Obtain A Payday Loan Via The Internet?


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.

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