Transcription of CONSUMER COMPLAINT FORM
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CONSUMER COMPLAINT FORM
Page 1 (8-19) CONSUMER COMPLAINT form *Required FieldsFR 1379c - OMB No. 7100-0135 Approval expires February 28, 2023 Please print clearly below. Mail or fax this completed form to: Federal Reserve CONSUMER Help PO Box 1200, Minneapolis, MN 55480 Fax: 877-888-2520 Questions? Call us at 888-851-1920 YOUR INFORMATION Prefix: Mr. Mrs. Ms. Dr. *First Name: *Last Name:*Address:City State Zip Code Country E mail:*Phone:Alternate Phone: *Contact Preference: Mail E Mail REPRESENTATIVE CONTACT Do you want us to communicate with a third party, such as an attorney or other legal representative, regarding this COMPLAINT ?
CONSUMER COMPLAINT FORM *Required Fields FR 1379c - OMB No. 7100-0135 Approval expires February 28, 2023 Please print clearly below. Mail or fax this completed form to: Federal Reserve Consumer Help PO Box 1200, Minneapolis, MN 55480 Fax: 877-888-2520 Questions? Call us at 888-851-1920 YOUR INFORMATION Prefix: Mr. Mrs. Ms. Dr.
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