Department of Insurance, Securities and Banking: File a Consumer Complaint Form
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File a Consumer Complaint Form

A copy of a consumer complaint form* can be downloaded and printed out. Please read the guidelines before completing the consumer complaint form. Once completed, please sign it and mail or hand-deliver it to:

Department of Insurance, Securities and Banking
Attn: Director - Banking Bureau
810 First Street, NE, Suite 701
Washington, DC 20002
Phone: (202) 727- 8000
Fax: (202) 535-1194

All documents filed, with the exception of personal financial report and biographical information forms, become part of the public record unless the applicant makes a written request for confidential treatment of a particular document or information. Final determination as to the confidentiality of such information rests with the Commissioner of the Department of Insurance, Securities and Banking.


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