Submit a complaint

What people are involved?

If you are submitting this complaint for someone else, you can choose to include your contact information in the “point of contact” section.

Primary consumer

Tell us about the person who is having this issue.

This person is...

Answer Required

Select an option... Primary account holder Additional account holder Joint account holder Additional card holder

First name

Middle (Optional)

Last name

Answer Required

Suffix (Optional) Select... Jr Sr PhD DS Esq I II III IV V VI VII IX X

Phone number

Zip Code

Address line 1

City

Address line 2 (Optional)

Answer Required

State

Email address

Answer Required

We’ll use this email address to send updates about the status of this complaint. It will also be the username for the account.

The primary consumer doesn't have an email address

How should we contact the primary consumer about the status of this complaint?

Required

Text message Mail Someone else will be the point of contact

We will mail updates each time your complaint changes status.

We will text a message to the number you provided each time your complaint changes in status. Standard messaging rates may apply.

Be sure to include full contact information below.

Additional consumer

Does this complaint involve an additional account holder, card-holder or co-signer? (Optional)

Optional

Yes No

This person is...

Answer Required

Select an option... Primary account holder Additional account holder Joint account holder Additional card holder

 

First name

Middle (Optional)

Last name

Answer Required

Suffix (Optional) Select... Jr Sr PhD DS Esq I II III IV V VI VII IX X

Email address (Optional)

Optional

We’ll use this email address to send updates about the status of this complaint. It will also be the additional consumer's username for logging in to their account.

Allow this person to access this complaint and receive status updates.

Phone number

Additional point of contact

Should we send status updates to anyone else about this complaint? (Optional)

Optional

Yes No

Relationship to consumer

Answer Required

Select an option... Family Member Friend Attorney Government employee Advocate Housing counselor Other

 

Allow this person full access to this complaint in addition to status updates.

Organization name

Allowing full access may require documentation, such as a signed release form. You can include an authorization document as an attachment on the next page.

First name

Middle (Optional)

Last name

Answer Required

Suffix (Optional) Select... Jr Sr PhD DS Esq I II III IV V VI VII IX X

Email address

Required

We’ll use this email address to send updates about the status of this complaint. It will also be the point of contact's username for logging in to their account.

Phone number

Affiliations

We use this information to help identify trends in the marketplace.

The primary consumer is: (Optional, choose all that apply)

A servicemember or veteran The spouse or dependent of a servicemember or veteran A current student
Includes any college or university degree program A person with a disability

Current status Choose... Active Reserve National Guard Retired Veteran

Branch of service Choose... Marines Air Force Army Navy Coast Guard Public Health Service National Oceanic and Atmospheric Admin

Rank (Optional) Choose... E1-E4 E5-E7 E8-E9 O1-O3 O4-O6 O7-O10 W01-CW5

Military base/location (Optional) Select... Minot Air Force Base McConnell Air Force Base Offutt Air Force Base Maxwell Air Force Base McClellan Air Force Base Fairchild Air Force Base