File a Complaint: Money Transmitter, Currency Exchanger, or Virtual Currency

Public Records Disclosure

Your complaint is a public record under the Washington State Public Records Act (RCW 42.56). Your complaint may be released if someone requests it. If you provide identifying information in your complaint, your complaint is not anonymous.

We may release your identifying information (including your name and contact information). You can choose to have your identifying information removed. Please note that this does not stop the release of your information as part of a court case or subpoena.

Release Information? *

Do not release my identifying information in response to a request for public records

It’s OK to release my identifying information in response to a request for public records

Your Information

Full Name(s) *

Mailing Address *

City *

State *

Zip Code *

Residence Address

Different than mailing address

Address for Residence

City

State

Zip Code

Telephone

E-Mail Address

Whom Are You Filing A Complaint Against?

Name(s) *

Address

City

State

Zip Code

Telephone

Email

Whom did you contact?

Complaint/Problem

What did the transaction involve? *

Wire, money order, or money transfer

Virtual currency

Currency exchange

If applicable, are you a

Buyer

Seller

Date transaction occured

Year

Month

Day

Amount of transaction

What happened? *

Please describe what happened. Be as specific as you can.

Can you give us copies of documents and correspondence relevant to your complaint?

Yes

No

Have you tried to resolve the issue?

Yes

No

Additional Questions

How should we send you updates about your complaint?

Email

US Mail

Are you on active duty in the armed forces, or a dependent of someone who is?

Yes

No

Are you submitting this complaint for someone else?

Yes

No

If you are submitting this complaint for someone else, do you have that person’s permission to communicate with us about their complaint?

We’ll need that person’s written, signed permission to communicate with you about the complaint.

Yes

No

If you are not a party to the transaction described in the complaint, what is your involvement?

Do you have an attorney?

If you choose yes, we will communicate with you through your attorney, rather than with you directly.

Yes

No

Attorney’s Name

Name of Law Firm

Address

City

State

Zip Code

Telephone

Email

If you want us to contact your attorney, how should we contact them?

Email

US Mail

How did you hear about DFI?

Declaration

Full Name *

Date *