Complaint Form - Churchbridge Credit Union Page 2

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Please attach copies of your account statements and/or financial agreement (if applicable) and any copies of
correspondence or other material that may be of assistance. Please remember – you should not submit originals when
you are filing a complaint.
What would you like to see done? What is your proposed solution?
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Authorization
I have asked the credit union to investigate my complaint and I consent to the collection, use and disclosure of my
personal information for the purposes of investigating the above complaint.
__________________________________________
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Date
Complainant Signature
Please return your completed, signed complaint form to the credit union.
page 2

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