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Banks Online Complaint Form

Before you begin, please review instructions on how to file a complaint with the Division of Banks.

To file a bank complaint, please provide:

Your name, mailing address, and phone number (with area code).
The name and location of the bank.
A simple explanation of the problem, with a list of events in chronological order, making sure to include names and dates. Be specific and as brief as possible.

CAUTION: 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.

* Denotes a required field

Your Information

* Name

* Mailing Address

Address Continued

* City

* State

* Zip Code

* Phone Number

Fax Number

Email Address

Bank Information

* Name of Bank

* Location

Branch

Who You Contacted

Complaint/Problem

* Briefly describe the problem or complaint in the box provided below.

Public Records Disclosure Act

Under the public records provisions of Washington law, RCW 42.17 et.seq., this complaint may become subject to public disclosure at some time after your file is closed.

By checking this box, you may request that this complaint not be disclosed if it is requested pursuant to the Public Records Disclosure Act.

* Name:

* Date:

*	Name
*	Mailing Address
	Address Continued
*	City
*	State
*	Zip Code
*	Phone Number
	Fax Number
	Email Address