Complaint Form
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Complaint Category:
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Mortgage
Lending
Deposits and Retail
Electronic Banking
Insurance
Credit Cards
Other
Complaint Type:
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Fees
Errors/Mistakes
Customer Service
Funds available
Credit Reporting
ATM/Debit Card
Payments
Deposits or withdrawals
Account opening or closing
Disclosures/Statements
Other
Complaint Received By:
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In Person
Phone
Email
Letter
Text Message
Social Media
Online Chat
Regulatory Agency
Other Entity
Customer Name*:
Customer Phone*:
Customer Email:
Customer Account Number:
Complaint Status
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In Process
Resolved
Unresolved
Why is the complaint unresolved?
Date Resolved:
Does the complaint need to be escalated to the Compliance or Legal Department?
Yes
No
Why does it need to be escalated?
Employee Email:
*
Branch/Location
*
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Beatrice Auto
Beatrice Main
Beatrice North
Blue Springs
Chadron
Clatonia
Cody
Cortland
Cozad
Crawford
Elwood
Harrison
Hay Springs
Lincoln Proceed Finance
Lincoln Garret
Lincoln Northwoods
Lincoln Red Rock
Lincoln Red Rock Mortgage
Martin
Merriman
Overton
Rapid City Main
Rapid City Operations Center
Rapid City Sheridan Lake
Rushville
Sidney
Thedford
Valentine
Details
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