Free Bank Complaint Form

Please fill out all sections to help us resolve your complaint efficiently and effectively.
Personal Information
Name
Address
Phone Number
Account Number (if applicable)
Complaint Details
Date of Incident
Branch Location Address
Staff Member(s) Involved (if applicable)
Name(s) | Contact Number |
|---|---|
Nature of Complaint
Check all that apply:
Account Issue (e.g., incorrect charges, transaction error)
Loan or Credit Service Concern
ATM Malfunction
Delayed Service
Unprofessional Staff Behavior
Description of Incident
Provide a detailed account of what occurred. Include relevant times, locations, and interactions. Attach additional pages if necessary.
Action Taken
Have you reported this issue to anyone else?
If yes, please specify:
Desired Resolution
Describe how you would like this to be resolved.
Supporting Document
Upload a file to support the complaint.
By signing below, I affirm that the information provided is accurate to the best of my knowledge.
Name:
Signed:
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