Contact Consumer Services - Online Form

Please fill out the contact information if you wish to file a formal complaint and/or have us respond to you.  Fields marked with an * require a response.  When you are finished, click "Save" at the bottom of the screen to submit your inquiry/complaint to the Department of Banking.  

First Name*
Last Name*
Home Phone
Day Phone - with extension*
Email Address*
Institution Name
Instititution Address (if known)
Account/Loan #
Tell us why you are contacting us (limited to 1,000 characters)*