Form 08-115a - Complaint Form - State Of Alaska Division Of Banking And Securities Page 9
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9AUTHORIZATION TO OBTAIN DOCUMENTS FROM THIRD PARTIES
For the express purpose of investigating your complaint, the Division of Banking and Securities may need to
obtain information relating to you from third parties not directly regulated by the Division. By signing below
you authorize any person and/or entity to furnish to the Division upon its request, any and all
information necessary for the Division to conduct its investigation. A photocopy of this authorization will be
considered as effective and valid as the original.
Signature: _____________________________________
Date: ______________________________________
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