Submit an Online Financial Exploitation Intake
The Department of Financial Institutions (DFI) regulates state-chartered banks, state-chartered credit unions, securities offerings, securities individuals and entities, money transmitters, check cashers/payday lenders, mortgage lenders and loan officers, and some other consumer/industrial lenders. To file a Financial Exploitation Intake against an entity or offering regulated by DFI, submit this online Financial Exploitation Intake form. Please note, pursuant to Kentucky’s open records laws, any information you provide may by subject to public disclosure upon termination of a formal investigation and immediately if no formal investigation is initiated.

In submitting this complaint, you agree the information provided is true and correct to the best of your knowledge and that the information may be used by the Department for its investigation. Consumer complaints are considered to have been received by the Department in confidence. However, the Department may, at its sole discretion, disclose your complaint to the person or entity for the purpose of corrective action. The Department may also choose to disclose your complaint to others for the purpose of facilitating an investigation of the person or entity complained against or initiating legal proceedings against the same under the Department's investigation.


Please enter the following information for the Reporting Institution:
Name: (required)
Address:
PO Box / Apt#:
City:
State\Country:
Postal Code:
Email Address:
Phone Number:
Institution Case Number:


Please enter the following information for the Contact Person at the Reporting Institution:
First Name: (required)
Last Name: (required)
Address:
PO Box / Apt#:
City:
State\Country:
Postal Code:
Email Address:
Phone Number:


Please enter the following information for the Customer or Client who is the potential victim of the conduct being reported:
Is the Customer or Client a Business or a Person?    


Please enter the Name of the party potentially responsible for the exploitative or violative conduct being reported
Is the Respondent or Client a Business, Person or Unknown?        
Address:
PO Box / Apt#:
City:
State\Country:
Postal Code:
Email Address:
Phone Number:
Date complaint event occurred
Complaint Summary: (Max 1,500 Characters) (Required)
Has the reporting institution submitted the complaint to the Kentucky Cabinet for Health and Family Services?