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Division of Financial Services Complaint Form
Division of Financial Services Complaint Form
Instructions:
Please complete this form for complaints related to a Colorado state-chartered credit unions, savings and loan associations, or life care institutions.
Complainant Information
Individual Name
Additional Complainants (if applicable)
Business Name (if applicable)
Street Address
Street Address
City/Town
State/Province
ZIP/Postal Code
Mailing Address (if different)
Mailing Address (if different)
City/Town
State/Province
ZIP/Postal Code
Primary Phone Number
Alternate/Cell Phone Number
E-mail Address
Institution Information
Please select an institution from one of the lists below. Please note, if your institution is not listed below, we may not be able to process your request.
?
Financial Institution (FI) Name
- None -
Arapahoe Credit Union
Bellco Credit Union
Canvas Credit Union
Century Savings and Loan Association
Climb Credit Union (a.k.a. Sooper Credit Union)
Colorado Credit Union
Community Choice Credit Union
Credit Union of Denver
Credit Union of the Rockies
Del Norte Bank
Elevations Credit Union
Ent Credit Union
Equitable Savings and Loan Association
Fellowship Credit Union
Foothills Credit Union
Guadalupe Parish Credit Union
Gunnison Savings and Loan Association
Horizons North Credit Union
Meritrust Credit Union (fka Premier Members Credit Union)
Metrum Credit Union
Minnequa Works Credit Union
Mountain River Credit Union
Northern Colorado Credit Union
On Tap Credit Union
One Thirteen Credit Union
Options Credit Union
Partner Colorado Credit Union
Peoples Credit Union
Pikes Peak Credit Union
Power Credit Union
Red Rocks Credit Union
Rio Grande Savings and Loan Association
San Juan Mountains Credit Union
Space Age Credit Union
St. Mary's Credit Union
SunWest Credit Union
Valley Educators Credit Union
Weld Community Credit Union
Westerra Credit Union
Zing Credit Union (a.k.a. Denver Community Credit Union)
?
Life Care Institution Name
- None -
Aberdeen Ridge
Casey's Pond
Christian Living Communities - Clermont Park
Christian Living Communities - Holly Creek
Covenant Village of Colorado
Frasier Meadows Manor, Inc.
VI @ Highlands Ranch
Windcrest, Inc.
Institution Contact
Institution Contact Name/Title
Institution Contact Email
Institution Contact Phone
Complaint Details
Date(s) of Disputed Transaction
Disputed Amount
Description of the Complaint
Description of Complaint
Proposed Resolution
Proposed Resolution
Upload Supporting Documents/Attachments (Limit of 5 files)
Upload
Upload requirements
Maximum 5 files.
256 MB limit.
Submit
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