Money Services Complaint Form

Washington State Public Records Act (PRA), RCW 42.56, 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.

Your Information


Against Whom Are You Filing A Complaint?


Transaction Details

(If multiple dates, provide first date and clarify additional dates under Complaint / Problem section)
$

Complaint/Problem


Attorney Information


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.

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