Customer Complaint Form Page 2
Download a blank fillable Customer Complaint Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Customer Complaint Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3CUSTOMER COMPLAINT FORM (Page 2)
Bank Information (National Bank or its operating subsidiary you are filing a complaint against)
Name of Bank:
Address:
Street
City
State
Zip
Type of Account:
Account #:
Have you tried to resolve your complaint with the
Yes
No
bank?
If Yes, when?
How?
Phone
Mail
In Person
Other
If you have an attorney or other representative you want us to deal with directly, please provide your
representative's information below. Your signature on this form authorizes your bank and our office to
release information to your representative.
Name of Representative:
Title:
Address:
Street
City
State
Zip
Daytime Phone:
(
)
Fax:
(
)
Please print or type your complaint. Describe events in the order in which they occurred,
including any names, phone numbers, and a full description of the problem with the amount(s)
and date(s) of any transaction(s). You should also include any response from the bank. Be as
brief and complete as possible to make the explanation clear. Use separate sheet(s) of 8.5” x
11” paper if you need more space.
- - 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal