Submit a complaint | Your information

Who are the people involved?

Identify who is involved in this complaint. This could include yourself, a co-borrower, or someone helping submit the complaint for you, such as a lawyer, an advocate, or a family member.

Just you Someone else You and someone else

Your Their information

How are you they involved in the complaint?

Answer Required

First name

Middle (optional)

Last name

Answer Required

Suffix (optional)

Phone number (optional)

Age (optional)

Answer Required

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

You They don’t have an email address.

How should we contact you them about the status of this complaint?

Required

Text message Mail Someone else will be the point of contact

We will mail status updates about this complaint to the address you provided.

We will text status updates about this complaint to the number you provided. Standard text messaging rates may apply.

Please include the full contact information in the section “Additional point of contact” below.

What affiliations do you they have? Choose all that apply. (optional)

The law may provide additional financial protections for certain groups.

A servicemember or veteran The spouse or dependent of a servicemember or veteran A small business owner

For servicemember or veteran

Current status

Branch of service

Rank (optional)

Military base/location (optional)

For spouse or dependent of servicemember or veteran

Current status

Branch of service

Rank (optional)

Military base/location (optional)

Is this complaint related to a small business you own? (optional)

Yes No

Your business information

Business name (optional)

Phone number (optional)

Industry (optional)

Annual revenue (optional)

Number of employees (including yourself) (optional)

Amount borrowed (optional)

Consistent with lending practices, the below categories use an even dollar amount as the high-value in each dollar range.

Additional person’s information

Does this complaint involve someone else?

Yes No

How is this person involved in the complaint?

Answer Required

First name

Middle (optional)

Last name

Answer Required

Suffix (optional)

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

Allowing full access may require documentation, such as a release form signed and submitted by the primary consumer. You can include an authorization as an attachment in Step 3.

Phone number (optional)

Optional

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

Additional point of contact

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

Yes No

Relationship to you

Organization name

First name

Middle (optional)

Last name

Answer Required

Suffix (Optional)

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

Allowing full access may require documentation, such as a release form signed and submitted by the primary consumer. You can include this as an attachment in Step 3.

Phone number (optional)

Required

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

Title of annotation

Who are the people involved?

Your Their information

Additional person’s information

Additional point of contact