Pompano Beach City Employee
PO Box 610748
Pompano Beach FL 33061
Tel: (954) 785-8710
Complaint Resolution Form
What type of complaint is this? (Select all that apply)
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Response Due Date:
Social Media
Mail
Face to Face
Internet Banking
Chat
Phone
Email
Other
Consumer Information
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First Name:
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Last Name:
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Contact Info(phone or email):
Consumer
Non-customer
Customer does not want to be contacted
Reporting on behalf of another
If reporting on behalf of another, for whom?
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Describe the complaint
Complaint Involves
Accesibility of Services (ADA)
Cross Sell Practices
Discrimination
Mortgage/Loan Servicing
Advertising/Marketing
Customer Service
Fees
Overdraft Practices/Fees
Community Reinvestment Act
Deposit/Check Cashing Policy
Misleading Practice/Interaction
Products/Services
Account/Loan/Product affected(Select all that apply):
Consumer
Commercial
Internet Banking
Other
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Account #
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Credit Card #
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ATM Card #
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Loan #
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Mortgage #
Location Employee Information
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Date Complaint Received
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Location
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Employee
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Complaint referred to
Submit
