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How do I fill this out?
To fill out this form, start by providing your personal information accurately. Next, include details about the financial institution involved in the complaint. Finally, describe your complaint clearly and submit the form as instructed.

How to fill out the Customer Complaint Form - OCC?
1
Provide your personal information in the designated fields.
2
Fill out the financial institution's information.
3
Clearly describe your complaint in the provided section.
4
Review the form for accuracy and completeness.
5
Submit the form via mail or fax as indicated.
Who needs the Customer Complaint Form - OCC?
1
Consumers having issues with a national bank.
2
Individuals seeking resolution for grievances with federal savings associations.
3
Business owners experiencing challenges with financial institutions.
4
Clients who have unresolved disputes after contacting their bank.
5
Anyone needing to officially document their complaints.
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1
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What are the instructions for submitting this form?
Submit your completed complaint form to the Office of the Comptroller of the Currency by mailing it to: 1301 McKinney Street, Suite 3450, Houston, TX 77010-9050. You can also fax the form to 1-713-336-4301. Ensure you keep a copy for your records and follow up if you do not receive acknowledgment.
What are the important dates for this form in 2024 and 2025?
The current expiration date for this form is 10/31/2012. It is essential to check for any updates or changes regarding this form as applicable dates may change. Always refer to the official OCC website for the most recent information.

What is the purpose of this form?
The purpose of the Customer Complaint Form is to enable consumers and businesses to officially document and submit complaints against national banks and federal savings associations. It provides a structured way for individuals to communicate their issues, facilitating the resolution process. By collecting vital information, it ensures the Office of the Comptroller of the Currency can address complaints effectively.

Tell me about this form and its components and fields line-by-line.

- 1. First Name: The first name of the account holder.
- 2. Last Name: The last name of the account holder.
- 3. Street Address: The residential address of the account holder.
- 4. City: The city in which the account holder resides.
- 5. State: The state of residence.
- 6. Zip: The postal code.
- 7. Phone: The contact phone number.
- 8. Email: The email address for communication.
- 9. Financial Institution: The name of the financial institution related to the complaint.
- 10. Nature of the Complaint: A brief description of the complaint.
What happens if I fail to submit this form?
If you fail to submit this form, your complaint will not be recorded. It is critical to provide accurate and complete information for effective resolution. Without submission, there will be no acknowledgment or case number assigned.
- Unresolved Issues: Failure to submit can lead to unresolved grievances with financial institutions.
- Lack of Documentation: Your complaint will lack official documentation, making it harder to track.
- No Case Number: Without submission, you will not receive a case number for future reference.
How do I know when to use this form?

- 1. Consumer Complaints: For individual consumers facing issues with banks.
- 2. Business Complaints: For businesses experiencing challenges with financial services.
- 3. Dispute Documentation: When the complaint needs to be officially recorded.
Frequently Asked Questions
How do I access the Customer Complaint Form?
You can download the Customer Complaint Form directly from our website.
What information do I need to fill out the form?
You will need to provide personal information, details about the financial institution, and your complaint.
Can I edit the PDF before submission?
Yes, you can edit the PDF using PrintFriendly’s editing tools.
How do I submit the form after editing?
You can submit the form via mail or fax as instructed on the form.
Will I receive confirmation after submitting?
Yes, once your form is processed, you will receive an acknowledgment letter.
What if my complaint involves multiple institutions?
You will need to submit a separate form for each institution.
Can I save my changes in PrintFriendly?
You can edit and download the PDF, but saving is not currently supported.
Can I use this form for personal loans?
Yes, you can use this form for any issue related to loans from national banks.
What should I do if my complaint is in litigation?
This form cannot be used for complaints that are already in litigation.
How do I contact the Office of the Comptroller of the Currency?
You can reach them via phone or by mailing your complaint form to their address.
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