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ID Number Category Sub-Category Service, Product, or Field Issues Sub-Issues Related Issues

1.1 Intake Accessibility Preferred Language Spoken English, Spanish, etc.

2.1 Intake Accessibility Preferred Language Written English, Spanish, etc.

3.1 Intake Accessibility Vision, Hearing, Speech Impairment Support

4.1 Intake Authority "Do not send" to company

5.1 Intake Authority Anonymous Desire to submit anonymously

6.1 Intake Authority Bankruptcy Filing Chapter 7 or 13 Case identifier

7.1 Intake Authority

Business Purpose Financial Service, Product or 

Activity

Commercial or Multi-Family Property (e.g., over 4 

units)

8.1 Intake Authority Duplication Prior CFPB filing Case identifier

9.1 Intake Authority Duplication Prior federal agency filing Case identifier

10.1 Intake Authority Duplication Prior state/local agency filing Case identifier

11.1 Intake Authority Fraud, exigent circumstances or imminent harm

12.1 Intake Authority

Identification of potential whistleblower or 

tipster by third party complainant

13.1 Intake Authority Legal or other third party representation

14.1 Intake Authority Non-consumer/Commercial status Natural person or legal entity Personal, family or household purpose

15.1 Intake Authority Pending or Prior Arbitration Name of Arbitration Service Arbitration Agreement

16.1 Intake Authority Pending Legal Proceeding Court and Case identifiers

17.1 Intake Authority Pending Legal Proceeding Pre-trial/status conference

18.1 Intake Authority Pending :Legal Proceeding Subject matter

19.1 Intake Authority Pending Mediation or Negotiation Better Business Bureau or Other

20.1 Intake Authority Pending Mediation or Negotiation Contact with Company

21.1 Intake Authority Prior Litigation Court judgment or order Court and Case identifiers

22.1 Intake Authority Prior Litigation Subject matter

23.1 Intake Authority Prior Settlement Settlement agreement or consent judgment

24.1 Intake Authority Prior Settlement Subject matter

25.1 Intake Authority Non-consumer/Commercial status Appraisal Management Company

26.1 Intake Authority Non-consumer/Commercial status Business Property Owner

27.1 Intake Authority Non-consumer/Commercial status Certified general appraiser

28.1 Intake Authority Non-consumer/Commercial status Certified residential appraiser

29.1 Intake Authority Non-consumer/Commercial status Financial Institution Lender

30.1 Intake Authority Non-consumer/Commercial status Individual Property Owner

31.1 Intake Authority Non-consumer/Commercial status Licensed appraiser

32.1 Intake Authority Non-consumer/Commercial status Mortgage broker

33.1 Intake Authority Non-consumer/Commercial status Non-financial institution lender

34.1 Intake Authority Non-consumer/Commercial status Other

35.1 Intake Consumer Demographics Consumer Access to Complaint Process Credit report 

Knowledge of access to free copy of 

credit report

36.1 Intake Consumer Demographics Consumer Access to Complaint Process

Household access/use of consumer financial 

products or services in past 12 months Auto title loan

37.1 Intake Consumer Demographics Consumer Access to Complaint Process

Household access/use of consumer financial 

products or services in past 12 months Bought from rent-to-own store

38.1 Intake Consumer Demographics Consumer Access to Complaint Process

Household access/use of consumer financial 

products or services in past 12 months Check cashing

39.1 Intake Consumer Demographics Consumer Access to Complaint Process

Household access/use of consumer financial 

products or services in past 12 months Debit card

40.1 Intake Consumer Demographics Consumer Access to Complaint Process

Household access/use of consumer financial 

products or services in past 12 months Pawn shop sale of item
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41.1 Intake Consumer Demographics Consumer Access to Complaint Process

Household access/use of consumer financial 

products or services in past 12 months Payday loan

42.1 Intake Consumer Demographics Consumer Access to Complaint Process

Household access/use of consumer financial 

products or services in past 12 months Prepaid card

43.1 Intake Consumer Demographics Consumer Access to Complaint Process

Household access/use of consumer financial 

products or services in past 12 months Tax refund anticipation loan

44.1 Intake Consumer Demographics Consumer Access to Complaint Process Income $100,000 - $124,999

45.1 Intake Consumer Demographics Consumer Access to Complaint Process Income $125,000 - $149,999

46.1 Intake Consumer Demographics Consumer Access to Complaint Process Income $150,000 - $199,999

47.1 Intake Consumer Demographics Consumer Access to Complaint Process Income $200,000 - more (specify)

48.1 Intake Consumer Demographics Consumer Access to Complaint Process Income $25,000 - $49,000

49.1 Intake Consumer Demographics Consumer Access to Complaint Process Income $50,000 - $74,999

50.1 Intake Consumer Demographics Consumer Access to Complaint Process Income $75,000 - $99,999

51.1 Intake Consumer Demographics Consumer Access to Complaint Process Income Less than $25,000

52.1 Intake Consumer Demographics Consumer Access to Complaint Process Internet access Cell phone

53.1 Intake Consumer Demographics Consumer Access to Complaint Process Internet access Don't have it

54.1 Intake Consumer Demographics Consumer Access to Complaint Process Internet access Family/friend's home

55.1 Intake Consumer Demographics Consumer Access to Complaint Process Internet access Home

56.1 Intake Consumer Demographics Consumer Access to Complaint Process Internet access No response

57.1 Intake Consumer Demographics Consumer Access to Complaint Process Internet access Public library

58.1 Intake Consumer Demographics Consumer Access to Complaint Process Internet access Work

59.1 Intake Consumer Demographics Consumer Access to Complaint Process Length of Employment 1 year or more

60.1 Intake Consumer Demographics Consumer Access to Complaint Process Length of Employment Less than 1 year

61.1 Intake Consumer Demographics Consumer Access to Complaint Process Length of Employment Number of years

62.1 Intake Consumer Demographics Consumer Access to Complaint Process Length of Employment Retired

63.1 Intake Consumer Demographics Consumer Access to Complaint Process Length of Employment Unemployed

64.1 Intake Consumer Demographics Consumer Access to Complaint Process Property Interests Auto loan

65.1 Intake Consumer Demographics Consumer Access to Complaint Process Property Interests Checking account

66.1 Intake Consumer Demographics Consumer Access to Complaint Process Property Interests Credit card account

67.1 Intake Consumer Demographics Consumer Access to Complaint Process Property Interests Home loan

68.1 Intake Consumer Demographics Consumer Access to Complaint Process Property Interests

Investment account, IRA, 401(k), 

pension plan or other retirement 

account

69.1 Intake Consumer Demographics Consumer Access to Complaint Process Property Interests Savings account, money market, CD

70.1 Intake Consumer Profile Billing Address Same as mailing address

71.1 Intake Consumer Profile Biography

72.1 Intake Consumer Profile Citizenship

73.1 Intake Consumer Profile City

74.1 Intake Consumer Profile Country Country of residence

75.1 Intake Consumer Profile Customer Name (as appears on bill)

76.1 Intake Consumer Profile Date of Birth

77.1 Intake Consumer Profile Dependency Status Information Date of Birth

78.1 Intake Consumer Profile Dependency Status Information Emancipated minor status Age of consent

79.1 Intake Consumer Profile Dependency Status Information Marital Status

80.1 Intake Consumer Profile Dependency Status Information Servicemember dependent Dependent-Child

81.1 Intake Consumer Profile Dependency Status Information Servicemember dependent Dependent-Spouse

82.1 Intake Consumer Profile Dependency Status Information Servicemember dependent Other Dependent

83.1 Intake Consumer Profile Education/Grade Level

84.1 Intake Consumer Profile Email Address

85.1 Intake Consumer Profile Employer/Organization

86.1 Intake Consumer Profile Employer/Organization

87.1 Intake Consumer Profile Facebook Profile URL

88.1 Intake Consumer Profile Fax
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89.1 Intake Consumer Profile First Name

90.1 Intake Consumer Profile Last Name

91.1 Intake Consumer Profile Mailing Address

92.1 Intake Consumer Profile Marital Status

93.1 Intake Consumer Profile Middle Name

94.1 Intake Consumer Profile Mobile Phone Number

95.1 Intake Consumer Profile Phone Number

96.1 Intake Consumer Profile Physical Address

97.1 Intake Consumer Profile Servicemember Address

98.1 Intake Consumer Profile Servicemember Country

99.1 Intake Consumer Profile Servicemember Name

100.1 Intake Consumer Profile Servicemember Relocation Deployment Permanent Change of Station

101.1 Intake Consumer Profile Servicemember State

102.1 Intake Consumer Profile Servicemember Status Active Duty

103.1 Intake Consumer Profile Servicemember Status Branch Air Force

104.1 Intake Consumer Profile Servicemember Status Branch Army

105.1 Intake Consumer Profile Servicemember Status Branch Coast Guard

106.1 Intake Consumer Profile Servicemember Status Branch Marines

107.1 Intake Consumer Profile Servicemember Status Branch

National Oceanic and Atmospheric 

Administration

108.1 Intake Consumer Profile Servicemember Status Branch Navy

109.1 Intake Consumer Profile Servicemember Status Branch Public Health Service

110.1 Intake Consumer Profile Servicemember Status National Guard

111.1 Intake Consumer Profile Servicemember Status Rank 01-03

112.1 Intake Consumer Profile Servicemember Status Rank 04-06

113.1 Intake Consumer Profile Servicemember Status Rank 07-010

114.1 Intake Consumer Profile Servicemember Status Rank E1-E4

115.1 Intake Consumer Profile Servicemember Status Rank E5-E7

116.1 Intake Consumer Profile Servicemember Status Rank E8-E9

117.1 Intake Consumer Profile Servicemember Status Rank W01-CW5

118.1 Intake Consumer Profile Servicemember Status Reserve

119.1 Intake Consumer Profile Servicemember Status Retired Date of Discharge

120.1 Intake Consumer Profile Servicemember Status Veteran Date of Discharge

121.1 Intake Consumer Profile Servicemember ZIP

122.1 Intake Consumer Profile Short Message Service (SMS Text)

123.1 Intake Consumer Profile State State of Legal Residence 

124.1 Intake Consumer Profile School Name and Location Approx. 7000 colleges and universities

125.1 Intake Consumer Profile Third Party Query

Activity in question happened to complainant or 

someone else Cosignor Identity

126.1 Intake Consumer Profile Third Party Representative Information Authorization Type

Authority to access confidential financial 

information

127.1 Intake Consumer Profile Third Party Representative Information Authorization Type Authority to make financial decisions

128.1 Intake Consumer Profile Third Party Representative Information City 

129.1 Intake Consumer Profile Third Party Representative Information Country

130.1 Intake Consumer Profile Third Party Representative Information Email address

131.1 Intake Consumer Profile Third Party Representative Information Full name

132.1 Intake Consumer Profile Third Party Representative Information Mailing address

133.1 Intake Consumer Profile Third Party Representative Information Mobile phone number

134.1 Intake Consumer Profile Third Party Representative Information Organization Name

135.1 Intake Consumer Profile Third Party Representative Information Organization Web Site URL

136.1 Intake Consumer Profile Third Party Representative Information Phone number

137.1 Intake Consumer Profile Third Party Representative Information Proof of 3d Party Authorization Letter of Interest

138.1 Intake Consumer Profile Third Party Representative Information Proof of 3d Party Authorization Other

139.1 Intake Consumer Profile Third Party Representative Information Proof of 3d Party Authorization Power of Attorney

140.1 Intake Consumer Profile Third Party Representative Information Proof of 3d Party Authorization Retainer

141.1 Intake Consumer Profile Third Party Representative Information Proof of 3d Party Authorization Translation services agreement

142.1 Intake Consumer Profile Third Party Representative Information Relationship Type Family member
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143.1 Intake Consumer Profile Third Party Representative Information Relationship Type Friend

144.1 Intake Consumer Profile Third Party Representative Information Representative Type Attorney

Pro Bono service

Fee paid for service

145.1 Intake Consumer Profile Third Party Representative Information Representative Type Congressional

146.1 Intake Consumer Profile Third Party Representative Information Representative Type Legal Aid

147.1 Intake Consumer Profile Third Party Representative Information Representative Type Non-Attorney Advocate Fee paid for service

148.1 Intake Consumer Profile Third Party Representative Information Representative Type Non-profit 

149.1 Intake Consumer Profile Third Party Representative Information Representative Type Other

150.1 Intake Consumer Profile Third Party Representative Information Representative Type State/Local Government

151.1 Intake Consumer Profile Third Party Representative Information State

152.1 Intake Consumer Profile Third Party Representative Information Title

153.1 Intake Consumer Profile Third Party Representative Information Username

154.1 Intake Consumer Profile Third Party Representative Information Zip Code

155.1 Intake Consumer Profile Tipster

Report suspicion of violation of federal consumer 

financial protection law

156.1 Intake Consumer Profile Title and Salutation

157.1 Intake Consumer Profile Twitter or other Social Media Profile URL

158.1 Intake Consumer Profile Type of Organization (Affiliation)

159.1 Intake Consumer Profile Username

160.1 Intake Consumer Profile Whistleblower or Tipster status

Employment by subject of complaint or industry 

insider; suspicion of violation of federal financial 

consumer protection law 

161.1 Intake Consumer Profile Zip Code

162.1 Intake Financial Activity Alert

Alert about a financial institution, product, service 

or practice that I think the CFPB should look into

163.1 Intake Financial Activity Appraisal or other property valuation Appraisal fee-related issue

164.1 Intake Financial Activity Appraisal or other property valuation

Appraisal inaccurate or disagree with the value 

provided in appraisal

165.1 Intake Financial Activity Appraisal or other property valuation Appraisal independence

166.1 Intake Financial Activity Appraisal or other property valuation

Improper (or attempted improper) influencing of 

an appraiser or the appraisal process

167.1 Intake Financial Activity Appraisal or other property valuation Other

168.1 Intake Financial Activity Appraisal or other property valuation

Removal or exclusion from an approved appraiser 

list or addition to a "do not use" list

169.1 Intake Financial Activity Appraisal or other property valuation

Uniform Standards of Professional Appraisal 

Practice

170.1 Intake Financial Activity Auto and vehicle lease Inability to repay Bankruptcy

171.1 Intake Financial Activity Auto and vehicle lease Inability to repay Debt collections

172.1 Intake Financial Activity Auto and vehicle lease Inability to repay Deficiency

173.1 Intake Financial Activity Auto and vehicle lease Inability to repay Repossession

174.1 Intake Financial Activity Auto and vehicle lease Managing the lease Billing, late fees

175.1 Intake Financial Activity Auto and vehicle lease Managing the lease Credit reporting

176.1 Intake Financial Activity Auto and vehicle lease Managing the lease Damage/loss

177.1 Intake Financial Activity Auto and vehicle lease Managing the lease Insurance (gap, credit, etc.)

178.1 Intake Financial Activity Auto and vehicle lease Managing the lease Privacy

179.1 Intake Financial Activity Auto and vehicle lease Shopping for a lease Advertising/marketing

180.1 Intake Financial Activity Auto and vehicle lease Shopping for a lease Credit denial

181.1 Intake Financial Activity Auto and vehicle lease Shopping for a lease Sales tactics/pressure

182.1 Intake Financial Activity Auto and vehicle lease Shopping for a lease Telemarketing

183.1 Intake Financial Activity Auto and vehicle lease Taking out the lease Changes after closing

184.1 Intake Financial Activity Auto and vehicle lease Taking out the lease Fraud

185.1 Intake Financial Activity Auto and vehicle lease Taking out the lease High pressure tactics

186.1 Intake Financial Activity Auto and vehicle lease Taking out the lease Mid-deal changes

187.1 Intake Financial Activity Auto and vehicle lease Taking out the lease Required add-on products

188.1 Intake Financial Activity Auto and vehicle lease Taking out the lease Trade-in payoff

189.1 Intake Financial Activity Auto and vehicle loans Inability to repay Bankruptcy
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190.1 Intake Financial Activity Auto and vehicle loans Inability to repay Debt collections

191.1 Intake Financial Activity Auto and vehicle loans Inability to repay Deficiency

192.1 Intake Financial Activity Auto and vehicle loans Inability to repay Repossession

193.1 Intake Financial Activity Auto and vehicle loans Managing the loan Billing, late fees

194.1 Intake Financial Activity Auto and vehicle loans Managing the loan Credit reporting

195.1 Intake Financial Activity Auto and vehicle loans Managing the loan Damage/loss

196.1 Intake Financial Activity Auto and vehicle loans Managing the loan Insurance (gap, credit, etc.)

197.1 Intake Financial Activity Auto and vehicle loans Managing the loan Privacy

198.1 Intake Financial Activity Auto and vehicle loans Shopping for a loan Advertising/marketing

199.1 Intake Financial Activity Auto and vehicle loans Shopping for a loan Credit denial

200.1 Intake Financial Activity Auto and vehicle loans Shopping for a loan Sales tactics/pressure

201.1 Intake Financial Activity Auto and vehicle loans Shopping for a loan Telemarketing

202.1 Intake Financial Activity Auto and vehicle loans Taking out the loan Changes after closing

203.1 Intake Financial Activity Auto and vehicle loans Taking out the loan Fraud

204.1 Intake Financial Activity Auto and vehicle loans Taking out the loan High pressure tactics

205.1 Intake Financial Activity Auto and vehicle loans Taking out the loan Mid-deal changes

206.1 Intake Financial Activity Auto and vehicle loans Taking out the loan Required add-on products

207.1 Intake Financial Activity Auto and vehicle loans Taking out the loan Trade-in payoff

208.1 Intake Financial Activity Auto title loan Improper repossession of auto

209.1 Intake Financial Activity Bank Account or Service Account servicing Interest calculations

210.1 Intake Financial Activity Bank Account or Service Account servicing Online access

211.1 Intake Financial Activity Bank Account or Service Account servicing Remote/mobile access

212.1 Intake Financial Activity Bank Account or Service Account servicing Statements

213.1 Intake Financial Activity Bank Account or Service Account servicing

Third party services provided by bank (e.g., ID 

theft protection)

214.1 Intake Financial Activity Bank Account or Service Certificate of Deposit (CD) Account opening/closing/management Account access

215.1 Intake Financial Activity Bank Account or Service Certificate of Deposit (CD) Account opening/closing/management Denial

216.1 Intake Financial Activity Bank Account or Service Certificate of Deposit (CD) Account opening/closing/management Disclosure of fees

217.1 Intake Financial Activity Bank Account or Service Certificate of Deposit (CD) Account opening/closing/management Disclosure of fees and terms

218.1 Intake Financial Activity Bank Account or Service Certificate of Deposit (CD) Account opening/closing/management Interest

219.1 Intake Financial Activity Bank Account or Service Certificate of Deposit (CD) Account opening/closing/management Joint Account

220.1 Intake Financial Activity Bank Account or Service Certificate of Deposit (CD) Account opening/closing/management Marketing

221.1 Intake Financial Activity Bank Account or Service Certificate of Deposit (CD) Account opening/closing/management

Opting in/out of debit/ATM 

overdraft protection

222.1 Intake Financial Activity Bank Account or Service Certificate of Deposit (CD) Account opening/closing/management Overdraft protection services

223.1 Intake Financial Activity Bank Account or Service Certificate of Deposit (CD) Account opening/closing/management Renewal/rollover (CDs only)

224.1 Intake Financial Activity Bank Account or Service Certificate of Deposit (CD) Account opening/closing/management Statements

225.1 Intake Financial Activity Bank Account or Service Certificate of Deposit (CD) Deposits and withdrawals Availability of deposits

226.1 Intake Financial Activity Bank Account or Service Certificate of Deposit (CD) Deposits and withdrawals Check cashing

227.1 Intake Financial Activity Bank Account or Service Certificate of Deposit (CD) Deposits and withdrawals Lost or missing funds

228.1 Intake Financial Activity Bank Account or Service Certificate of Deposit (CD) Deposits and withdrawals Payroll deposit problems

229.1 Intake Financial Activity Bank Account or Service Certificate of Deposit (CD) Deposits and withdrawals Transactions hold

230.1 Intake Financial Activity Bank Account or Service Certificate of Deposit (CD) Deposits and withdrawals Unauthorized transactions

231.1 Intake Financial Activity Bank Account or Service Certificate of Deposit (CD) Deposits and withdrawals Withdrawal problems and penalties

232.1 Intake Financial Activity Bank Account or Service Check cashing without an account Account opening/closing/management Denial

233.1 Intake Financial Activity Bank Account or Service Check cashing without an account Account opening/closing/management Disclosure of fees and terms

234.1 Intake Financial Activity Bank Account or Service Check cashing without an account Account opening/closing/management Interest

235.1 Intake Financial Activity Bank Account or Service Check cashing without an account Account opening/closing/management Marketing

236.1 Intake Financial Activity Bank Account or Service Check cashing without an account Account opening/closing/management Statements

237.1 Intake Financial Activity Bank Account or Service Checking accounts Account opening/closing/management Account access

238.1 Intake Financial Activity Bank Account or Service Checking accounts Account opening/closing/management Closure

239.1 Intake Financial Activity Bank Account or Service Checking accounts Account opening/closing/management Denial

240.1 Intake Financial Activity Bank Account or Service Checking accounts Account opening/closing/management Disclosure of fees and terms

241.1 Intake Financial Activity Bank Account or Service Checking accounts Account opening/closing/management Interest

242.1 Intake Financial Activity Bank Account or Service Checking accounts Account opening/closing/management Joint Account

243.1 Intake Financial Activity Bank Account or Service Checking accounts Account opening/closing/management Marketing
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244.1 Intake Financial Activity Bank Account or Service Checking accounts Account opening/closing/management

Opting in/out of debit/ATM 

overdraft protection

245.1 Intake Financial Activity Bank Account or Service Checking accounts Account opening/closing/management Overdraft protection services

246.1 Intake Financial Activity Bank Account or Service Checking accounts Account opening/closing/management Statements

247.1 Intake Financial Activity Bank Account or Service Checking accounts Deposits and withdrawals Availability of deposits

248.1 Intake Financial Activity Bank Account or Service Checking accounts Deposits and withdrawals Check cashing

249.1 Intake Financial Activity Bank Account or Service Checking accounts Deposits and withdrawals Lost or missing funds

250.1 Intake Financial Activity Bank Account or Service Checking accounts Deposits and withdrawals Payroll deposit problems

251.1 Intake Financial Activity Bank Account or Service Checking accounts Deposits and withdrawals Transactions hold

252.1 Intake Financial Activity Bank Account or Service Checking accounts Deposits and withdrawals Unauthorized transactions

253.1 Intake Financial Activity Bank Account or Service Checking accounts Deposits and withdrawals Withdrawal problems and penalties

254.1 Intake Financial Activity Bank Account or Service

Making/receiving payments or sending money to 

others Money/wire transfers

255.1 Intake Financial Activity Bank Account or Service

Making/receiving payments or sending money to 

others Phone or online

256.1 Intake Financial Activity Bank Account or Service

Making/receiving payments or sending money to 

others Problems with payments by check, card

257.1 Intake Financial Activity Bank Account or Service

Making/receiving payments or sending money to 

others Unauthorized transactions

258.1 Intake Financial Activity Bank Account or Service

Money services (money order, cashier's check, 

money transfer, etc.) Account opening/closing/management Denial

259.1 Intake Financial Activity Bank Account or Service

Money services (money order, cashier's check, 

money transfer, etc.) Account opening/closing/management Disclosure of fees and terms

260.1 Intake Financial Activity Bank Account or Service

Money services (money order, cashier's check, 

money transfer, etc.) Account opening/closing/management Interest

261.1 Intake Financial Activity Bank Account or Service

Money services (money order, cashier's check, 

money transfer, etc.) Account opening/closing/management Marketing

262.1 Intake Financial Activity Bank Account or Service

Money services (money order, cashier's check, 

money transfer, etc.) Account opening/closing/management Statements

263.1 Intake Financial Activity Bank Account or Service Problems caused by my funds being low Bounced checks

264.1 Intake Financial Activity Bank Account or Service Problems caused by my funds being low Credit reporting

265.1 Intake Financial Activity Bank Account or Service Problems caused by my funds being low Late fees

266.1 Intake Financial Activity Bank Account or Service Problems caused by my funds being low Overdraft fees

267.1 Intake Financial Activity Bank Account or Service Savings accounts Account opening/closing/management Account access

268.1 Intake Financial Activity Bank Account or Service Savings accounts Account opening/closing/management Closure

269.1 Intake Financial Activity Bank Account or Service Savings accounts Account opening/closing/management Denial

270.1 Intake Financial Activity Bank Account or Service Savings accounts Account opening/closing/management Disclosure of fees and terms

271.1 Intake Financial Activity Bank Account or Service Savings accounts Account opening/closing/management Interest

272.1 Intake Financial Activity Bank Account or Service Savings accounts Account opening/closing/management Joint Account

273.1 Intake Financial Activity Bank Account or Service Savings accounts Account opening/closing/management Marketing

274.1 Intake Financial Activity Bank Account or Service Savings accounts Account opening/closing/management

Opting in/out of debit/ATM 

overdraft protection

275.1 Intake Financial Activity Bank Account or Service Savings accounts Account opening/closing/management Overdraft protection services

276.1 Intake Financial Activity Bank Account or Service Savings accounts Account opening/closing/management Statements

277.1 Intake Financial Activity Bank Account or Service Savings accounts Deposits and withdrawals Availability of deposits

278.1 Intake Financial Activity Bank Account or Service Savings accounts Deposits and withdrawals Check cashing

279.1 Intake Financial Activity Bank Account or Service Savings accounts Deposits and withdrawals Lost or missing funds

280.1 Intake Financial Activity Bank Account or Service Savings accounts Deposits and withdrawals Payroll deposit problems

281.1 Intake Financial Activity Bank Account or Service Savings accounts Deposits and withdrawals Transactions hold

282.1 Intake Financial Activity Bank Account or Service Savings accounts Deposits and withdrawals Unauthorized transactions

283.1 Intake Financial Activity Bank Account or Service Savings accounts Deposits and withdrawals Withdrawal problems and penalties

284.1 Intake Financial Activity Bank Account or Service Unauthorized transactions

Check, debit card, ACH, ATM, wire/remittance, 

other

285.1 Intake Financial Activity Bank Account or Service Use of debit or ATM card ATM or debit card fees

286.1 Intake Financial Activity Bank Account or Service Use of debit or ATM card ATM problems

287.1 Intake Financial Activity Bank Account or Service Use of debit or ATM card Disputed transaction
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288.1 Intake Financial Activity Bank Account or Service Use of debit or ATM card Unauthorized card use

289.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Inability to repay Bankruptcy

290.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Inability to repay Debt collections

291.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Inability to repay Deficiency

292.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Inability to repay Repossession

293.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Managing the loan Billing, late fees

294.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Managing the loan Credit reporting

295.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Managing the loan Damage/loss

296.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Managing the loan Insurance (gap, credit, etc.)

297.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Managing the loan Privacy

298.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Shopping for a loan Advertising/marketing

299.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Shopping for a loan Credit denial

300.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Shopping for a loan Sales tactics/pressure

301.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Shopping for a loan Telemarketing

302.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Taking out the loan Changes after closing

303.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Taking out the loan Fraud

304.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Taking out the loan High pressure tactics

305.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Taking out the loan Mid-deal changes

306.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Taking out the loan Required add-on products

307.1 Intake Financial Activity

Bank installment loan (medical, appliance, 

vacation, funeral, etc.) Taking out the loan Trade-in payoff

308.1 Intake Financial Activity Comment

Comment about a financial institution, product, 

service or practice 

309.1 Intake Financial Activity Complaint narrative Description of events and steps toward resolution Breach of oral agreement

310.1 Intake Financial Activity Complaint narrative Description of events and steps toward resolution Default

311.1 Intake Financial Activity Complaint narrative Description of events and steps toward resolution Location of transaction at issue

312.1 Intake Financial Activity Complaint narrative Description of events and steps toward resolution Missing or deceptive disclosures

313.1 Intake Financial Activity Complaint narrative Description of events and steps toward resolution Solicitation or Advertisement

314.1 Intake Financial Activity Complaint narrative Description of events and steps toward resolution Unclear or deceptive terms of written agreement

315.1 Intake Financial Activity Complaint narrative Description of events and steps toward resolution Collusion

316.1 Intake Financial Activity Complaint narrative Description of events and steps toward resolution Images of financial product

317.1 Intake Financial Activity Complaint narrative Description of events and steps toward resolution Inability to pay 
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318.1 Intake Financial Activity Complaint narrative Description of events and steps toward resolution Undue interference

319.1 Intake Financial Activity Complaint narrative

Description of events and steps toward resolution 

generally

320.1 Intake Financial Activity Complaint narrative Descriptions of events and steps toward resolution Signing of Contract

321.1 Intake Financial Activity Correspondence with company

322.1 Intake Financial Activity Correspondence with merchant

323.1 Intake Financial Activity Correspondence with vendor/service provider

324.1 Intake Financial Activity Credit information Background/Employment Screening Did not consent to report being pulled

325.1 Intake Financial Activity Credit information Background/Employment Screening Not given notice that report would be obtained

326.1 Intake Financial Activity Credit information Credit report Adverse notice/risk based pricing

327.1 Intake Financial Activity Credit information Credit report Could not obtain free credit report

328.1 Intake Financial Activity Credit information Credit report Fails to provide credit score information

329.1 Intake Financial Activity Credit information Credit report Fraud alert failure

330.1 Intake Financial Activity Credit information Credit report Improperly shared credit report with others

331.1 Intake Financial Activity Credit information Credit report Inadequate phone help

332.1 Intake Financial Activity Credit information Credit report Prescreening/marketing

333.1 Intake Financial Activity Credit information Credit report Refuses request for file disclosure (improper ID)

334.1 Intake Financial Activity Credit information Credit report accuracy disputes Deleted information reinserted

335.1 Intake Financial Activity Credit information Credit report accuracy disputes Improper/incomplete credit file disclosure

336.1 Intake Financial Activity Credit information Credit report accuracy disputes Improperly conducts reinvestigation

337.1 Intake Financial Activity Credit information Credit report accuracy disputes Inaccurate info on credit report

338.1 Intake Financial Activity Credit information Credit report accuracy disputes Inaccurate public records

339.1 Intake Financial Activity Credit information Credit report accuracy disputes Investigation not timely

340.1 Intake Financial Activity Credit information Credit report accuracy disputes Outdated information on credit report

341.1 Intake Financial Activity Credit information Credit report accuracy disputes

Previous dispute with credit bureaus, inadequate 

response

342.1 Intake Financial Activity Credit information Credit report accuracy disputes Same item appears multiple times

343.1 Intake Financial Activity Credit information Credit score Inaccurate credit score

344.1 Intake Financial Activity Credit information Credit score

Incorrect public record information provided to 

employer

345.1 Intake Financial Activity Credit information Credit score Issue with score in adverse action notice

346.1 Intake Financial Activity Credit information Credit score Issue with score in risk based pricing notice

347.1 Intake Financial Activity Credit information Credit score No credit score

348.1 Intake Financial Activity Credit information Credit score Problem with marketing/advertising of score

349.1 Intake Financial Activity Credit information Credit score

Single record shows up multiple times in report 

provided to employer

350.1 Intake Financial Activity Credit information Credit score

Was not provided copy of report before adverse 

action taken

351.1 Intake Financial Activity Credit information Credit/identity monitoring Account terms and changes

352.1 Intake Financial Activity Credit information Credit/identity monitoring Billing dispute

353.1 Intake Financial Activity Credit information Credit/identity monitoring Closing/cancelling account

354.1 Intake Financial Activity Credit information Credit/identity monitoring Insurance

355.1 Intake Financial Activity Credit information Credit/identity monitoring Market advertising

356.1 Intake Financial Activity Credit information

Creditor/collector/bank issue related to info or 

scores

Did not fix incorrect information supplied to CRA 

after consumer disputed accuracy

357.1 Intake Financial Activity Credit information

Creditor/collector/bank issue related to info or 

scores Problem with adverse action notice

358.1 Intake Financial Activity Credit information

Creditor/collector/bank issue related to info or 

scores Problem with risk-based pricing notice

359.1 Intake Financial Activity Credit information

Creditor/collector/bank issue related to info or 

scores Reported incorrect information to CRA
Page 9 of 18

360.1 Intake Financial Activity Credit information Inability to repay Deficiency

361.1 Intake Financial Activity Credit information Inability to repay Identity theft

362.1 Intake Financial Activity Credit information Inability to repay Security freeze issue

363.1 Intake Financial Activity Credit information Insurance

Did not fix incorrect information supplied to CRA 

after consumer disputed accuracy

364.1 Intake Financial Activity Credit information Insurance

Insurance company did not provide risk-based 

pricing notice or defective notice

365.1 Intake Financial Activity Credit information Insurance Prescreened insurance offer

366.1 Intake Financial Activity Credit information Insurance Reported incorrect information to CRA

367.1 Intake Financial Activity Credit Products Auto/vehicle loan

368.1 Intake Financial Activity Credit Products Auto/vehicle title loan

369.1 Intake Financial Activity Credit Products Credit card Advertising/marketing

370.1 Intake Financial Activity Credit Products Credit card Application processing delay

371.1 Intake Financial Activity Credit Products Credit card APR or interest rate

372.1 Intake Financial Activity Credit Products Credit card Arbitration

373.1 Intake Financial Activity Credit Products Credit card Balance transfer

374.1 Intake Financial Activity Credit Products Credit card Balance transfer fee

375.1 Intake Financial Activity Credit Products Credit card Bankruptcy

376.1 Intake Financial Activity Credit Products Credit card Billing disputes

377.1 Intake Financial Activity Credit Products Credit card Billing statement

378.1 Intake Financial Activity Credit Products Credit card Cash advance

379.1 Intake Financial Activity Credit Products Credit card Cash advance fee

380.1 Intake Financial Activity Credit Products Credit card Closing/cancelling account

381.1 Intake Financial Activity Credit Products Credit card Collection practices

382.1 Intake Financial Activity Credit Products Credit card Credit card payment/debt protection

383.1 Intake Financial Activity Credit Products Credit card Credit determination

384.1 Intake Financial Activity Credit Products Credit card Credit line increase/decrease

385.1 Intake Financial Activity Credit Products Credit card Credit reporting

386.1 Intake Financial Activity Credit Products Credit card Customer service/customer relations

387.1 Intake Financial Activity Credit Products Credit card Delinquent account

388.1 Intake Financial Activity Credit Products Credit card Forbearance/workout plans

389.1 Intake Financial Activity Credit Products Credit card Identity theft/fraud/embezzlement

390.1 Intake Financial Activity Credit Products Credit card Late fees

391.1 Intake Financial Activity Credit Products Credit card Other fee

392.1 Intake Financial Activity Credit Products Credit card Overlimit fee

393.1 Intake Financial Activity Credit Products Credit card Payoff process

394.1 Intake Financial Activity Credit Products Credit card Privacy

395.1 Intake Financial Activity Credit Products Payday loan

396.1 Intake Financial Activity Credit Products Tax refund anticipation loan or product

397.1 Intake Financial Activity Credit Products and Consumer Loans Auto Title Loan

398.1 Intake Financial Activity Credit Products and Consumer Loans

Non-vehicle installment loan 

(appliance, boat, etc.)

399.1 Intake Financial Activity Credit Products and Consumer Loans Pawn Loan

400.1 Intake Financial Activity Credit Products and Consumer Loans Personal (Unsecured) Installment Loan

401.1 Intake Financial Activity Credit Products and Consumer Loans Tax Refund Loan or Product

402.1 Intake Financial Activity Credit Products and Consumer Loans Vehicle installment loan

403.1 Intake Financial Activity Debt collections Financial institutions/agencies/attorneys Abusive communication or tactics Threaten legal action

404.1 Intake Financial Activity Debt collections Financial institutions/agencies/attorneys

Debt has been repaid or collector is seeking the 

wrong amount 

405.1 Intake Financial Activity Debt collections Financial institutions/agencies/attorneys Disclosure of debt to others

406.1 Intake Financial Activity Debt collections Financial institutions/agencies/attorneys Failure to disclose information

407.1 Intake Financial Activity Debt collections Financial institutions/agencies/attorneys False or misleading representations

408.1 Intake Financial Activity Debt collections Financial institutions/agencies/attorneys Improper communications, esp. 3d party

Frequent calls, failure to honor "do 

not contact" request, called outside 

8a-9p

Contact with service member 

commanding officer
Page 10 of 18

409.1 Intake Financial Activity Debt collections Financial institutions/agencies/attorneys

Reported false or disputed information to a credit 

reporting company

410.1 Intake Financial Activity Debt collections Financial institutions/agencies/attorneys Trying to collect from wrong consumer

411.1 Intake Financial Activity Debt collections Financial institutions/agencies/attorneys Unfair practices

412.1 Intake Financial Activity Debt collections Name of collector

413.1 Intake Financial Activity Debt collections Telephone contact

Company address provided for bill payment or 

dispute

414.1 Intake Financial Activity Debt collections Telephone contact Current creditor Case/file/reference number

415.1 Intake Financial Activity Debt collections Telephone contact Current creditor Social security number

416.1 Intake Financial Activity Debt collections Telephone contact Date and time of call

417.1 Intake Financial Activity Debt collections Telephone contact Dollar amount/balance attempted to be collected

418.1 Intake Financial Activity Debt collections Telephone contact Original creditor (if known)

419.1 Intake Financial Activity Debt collections Telephone contact Outbound or inbound call

420.1 Intake Financial Activity Debt collections Telephone contact Phone number that company called from

421.1 Intake Financial Activity Debt collections Telephone contact Written correspondence after call

422.1 Intake Financial Activity Debt collections Telephone contact Written correspondence before call

423.1 Intake Financial Activity Debt collections Written correspondence Case/file/reference number

424.1 Intake Financial Activity Debt collections Written correspondence Company name

425.1 Intake Financial Activity Debt collections Written correspondence

Dollar amount of debt/balance attempted to be 

collected

426.1 Intake Financial Activity Debt collections Written correspondence Payment address

427.1 Intake Financial Activity Debt collections Written correspondence Phone number 

428.1 Intake Financial Activity Debt collections Written correspondence Social security number

429.1 Intake Financial Activity Debt relief

Credit counseling agency, debt settlement or 

restructuring company Disclosure

430.1 Intake Financial Activity Debt relief

Credit counseling agency, debt settlement or 

restructuring company Fees

431.1 Intake Financial Activity Debt relief

Credit counseling agency, debt settlement or 

restructuring company Servicing/contact with company

432.1 Intake Financial Activity Debt relief

Credit counseling agency, debt settlement or 

restructuring company Settlement

433.1 Intake Financial Activity Debt relief

Credit counseling agency, debt settlement or 

restructuring company Solicitation by company

434.1 Intake Financial Activity Debt relief Sent payment but never heard back from company

435.1 Intake Financial Activity Deposit products Certificate of Deposit (CD)

436.1 Intake Financial Activity Deposit products Checking accounts

437.1 Intake Financial Activity Deposit products Deposit insurance

438.1 Intake Financial Activity Deposit products Money market account

439.1 Intake Financial Activity Deposit products Other

440.1 Intake Financial Activity Deposit products Savings accounts 

441.1 Intake Financial Activity Discrimination

Basis of alleged discrimination and related 

description Age

442.1 Intake Financial Activity Discrimination

Basis of alleged discrimination and related 

description

Exercise of rights under Consumer Credit 

Protection Act 

443.1 Intake Financial Activity Discrimination

Basis of alleged discrimination and related 

description Marital Status

444.1 Intake Financial Activity Discrimination

Basis of alleged discrimination and related 

description National origin

445.1 Intake Financial Activity Discrimination

Basis of alleged discrimination and related 

description Race or Color

446.1 Intake Financial Activity Discrimination

Basis of alleged discrimination and related 

description Receipt of Public Assistance

447.1 Intake Financial Activity Discrimination

Basis of alleged discrimination and related 

description Religion

448.1 Intake Financial Activity Discrimination

Basis of alleged discrimination and related 

description Sex
Page 11 of 18

449.1 Intake Financial Activity Discrimination Consumer belief that issue involves discrimination

450.1 Intake Financial Activity Feedback 

451.1 Intake Financial Activity Financial advisory service Credit counseling 

452.1 Intake Financial Activity Financial advisory service Debt management/settlement

453.1 Intake Financial Activity Financial advisory service Financial planner

454.1 Intake Financial Activity Financial advisory service Investment advice

455.1 Intake Financial Activity Financial advisory service Other 

456.1 Intake Financial Activity Fraud or Security Incident

457.1 Intake Financial Activity Identity Theft

458.1 Intake Financial Activity Inquiry Question or comment

459.1 Intake Financial Activity Interstate Land Sales FD Act Other (specify)

460.1 Intake Financial Activity Interstate Land Sales FD Act Settlement service

461.1 Intake Financial Activity Interstate Land Sales FD Act Subdivision/Condo development

462.1 Intake Financial Activity Methods of Payment ACH transfer

463.1 Intake Financial Activity Methods of Payment ATM/Debit card

464.1 Intake Financial Activity Methods of Payment Check cashing

465.1 Intake Financial Activity Methods of Payment Checks

466.1 Intake Financial Activity Methods of Payment Currency exchange

467.1 Intake Financial Activity Methods of Payment Gift card

468.1 Intake Financial Activity Methods of Payment Money order

469.1 Intake Financial Activity Methods of Payment Money transmission or remittance

470.1 Intake Financial Activity Methods of Payment Other

471.1 Intake Financial Activity Methods of Payment Prepaid card/stored value card

472.1 Intake Financial Activity Money services, in general

Account relationship with 

provider/seller/authorized agent

473.1 Intake Financial Activity Money services, in general Advertising or marketing

474.1 Intake Financial Activity Money services, in general Amount received

475.1 Intake Financial Activity Money services, in general Cancellation procedures

476.1 Intake Financial Activity Money services, in general Channel used to send funds In person

477.1 Intake Financial Activity Money services, in general Channel used to send funds Kiosk

478.1 Intake Financial Activity Money services, in general Channel used to send funds Mobile phone application

479.1 Intake Financial Activity Money services, in general Channel used to send funds Online

480.1 Intake Financial Activity Money services, in general Channel used to send funds Other

481.1 Intake Financial Activity Money services, in general Channel used to send funds Telephone

482.1 Intake Financial Activity Money services, in general Channel used to send funds Text message

483.1 Intake Financial Activity Money services, in general Delay in cashing

484.1 Intake Financial Activity Money services, in general Delivery error: time delivery or amount delivered

485.1 Intake Financial Activity Money services, in general Error resolution procedures

486.1 Intake Financial Activity Money services, in general Exchange rate

487.1 Intake Financial Activity Money services, in general Fees or taxes paid

488.1 Intake Financial Activity Money services, in general Fraud

489.1 Intake Financial Activity Money services, in general Lost or delayed funds

490.1 Intake Financial Activity Money services, in general Lost, damaged or stolen checks or money order

491.1 Intake Financial Activity Money services, in general Name of Issuer Merchants Express

492.1 Intake Financial Activity Money services, in general Name of Issuer MoneyGram

493.1 Intake Financial Activity Money services, in general Name of Issuer US Postal Service

494.1 Intake Financial Activity Money services, in general Name of Issuer Western Union

495.1 Intake Financial Activity Money services, in general Other

496.1 Intake Financial Activity Money services, in general Overpayment or unauthorized transaction 

497.1 Intake Financial Activity Money services, in general Payment device used ATM/Debit card

498.1 Intake Financial Activity Money services, in general Payment device used Bank/CU account

499.1 Intake Financial Activity Money services, in general Payment device used Cash

500.1 Intake Financial Activity Money services, in general Payment device used Credit card

501.1 Intake Financial Activity Money services, in general Payment device used Other
Page 12 of 18

502.1 Intake Financial Activity Money services, in general Prior complaint filing with money service provider Date of complaint

503.1 Intake Financial Activity Money services, in general Prior complaint filing with money service provider Reference number

504.1 Intake Financial Activity Money services, in general Promised date of transaction/availability

505.1 Intake Financial Activity Money services, in general Provider/seller/authorized agent address

506.1 Intake Financial Activity Money services, in general Provider/seller/authorized agent location Online access

507.1 Intake Financial Activity Money services, in general Provider/seller/authorized agent location Pickup/Receive location

508.1 Intake Financial Activity Money services, in general Provider/seller/authorized agent location Storefront

509.1 Intake Financial Activity Money services, in general Provider/seller/authorized agent name Bank

510.1 Intake Financial Activity Money services, in general Provider/seller/authorized agent name Broker-dealer

511.1 Intake Financial Activity Money services, in general Provider/seller/authorized agent name Credit union

512.1 Intake Financial Activity Money services, in general Provider/seller/authorized agent name Money transmitter

513.1 Intake Financial Activity Money services, in general Provider/seller/authorized agent name Other

514.1 Intake Financial Activity Money services, in general Provider/seller/authorized agent name Retailer 

515.1 Intake Financial Activity Money services, in general Provider/seller/authorized agent name Thrift

516.1 Intake Financial Activity Money services, in general Transaction amount

517.1 Intake Financial Activity Money services, in general Transaction date Time for Foreign currency transaction

518.1 Intake Financial Activity Money services, in general

Transfer identification/transaction number/money 

order number/traveler check serial number

519.1 Intake Financial Activity Money services, in general Type of institution Bank or credit union

520.1 Intake Financial Activity Money services, in general Type of institution Broker-dealer or other investment company

521.1 Intake Financial Activity Money services, in general Type of institution

Retailer, check-casher, other storefront or online 

company

522.1 Intake Financial Activity Money services, in general Type of product Check cashing 

523.1 Intake Financial Activity Money services, in general Type of product Domestic money transfer or bill pay

524.1 Intake Financial Activity Money services, in general Type of product Foreign exchange

525.1 Intake Financial Activity Money services, in general Type of product International money transfer and bill pay

526.1 Intake Financial Activity Money services, in general Type of product Money orders 

527.1 Intake Financial Activity Money services, in general Type of product Travelers checks

528.1 Intake Financial Activity Money services, in general Type of service

By or cash a check, money order, traveler's check 

or similar payment instrument

529.1 Intake Financial Activity Money services, in general Type of service Exchange currency

530.1 Intake Financial Activity Money services, in general Type of service Receive a money transfer from someone in US

531.1 Intake Financial Activity Money services, in general Type of service

Receive money transfer from someone in 

another country

532.1 Intake Financial Activity Money services, in general Type of service

Transfer money to someone or pay a bill in the 

US

533.1 Intake Financial Activity Money services, in general Type of service

Transfer money to someone or pay bill in another 

country

534.1 Intake Financial Activity Mortgage Conventional adjustable mortgage (ARM) Applying for the loan Application

535.1 Intake Financial Activity Mortgage Conventional adjustable mortgage (ARM) Applying for the loan Mortgage broker

536.1 Intake Financial Activity Mortgage Conventional adjustable mortgage (ARM) Applying for the loan Originator

537.1 Intake Financial Activity Mortgage Conventional adjustable mortgage (ARM) Making payments Escrow accounts

538.1 Intake Financial Activity Mortgage Conventional adjustable mortgage (ARM) Making payments Loan servicing

539.1 Intake Financial Activity Mortgage Conventional adjustable mortgage (ARM) Making payments Payments

540.1 Intake Financial Activity Mortgage Conventional adjustable mortgage (ARM) Problems when you are unable to pay Collection

541.1 Intake Financial Activity Mortgage Conventional adjustable mortgage (ARM) Problems when you are unable to pay Foreclosure

542.1 Intake Financial Activity Mortgage Conventional adjustable mortgage (ARM) Problems when you are unable to pay Loan modification

543.1 Intake Financial Activity Mortgage Conventional adjustable mortgage (ARM) Receiving a credit offer Credit decision

544.1 Intake Financial Activity Mortgage Conventional adjustable mortgage (ARM) Receiving a credit offer Underwriting

545.1 Intake Financial Activity Mortgage Conventional adjustable mortgage (ARM) Signing the agreement Costs

546.1 Intake Financial Activity Mortgage Conventional adjustable mortgage (ARM) Signing the agreement Settlement process

547.1 Intake Financial Activity Mortgage Conventional fixed mortgage Applying for the loan Application

548.1 Intake Financial Activity Mortgage Conventional fixed mortgage Applying for the loan Mortgage broker
Page 13 of 18

549.1 Intake Financial Activity Mortgage Conventional fixed mortgage Applying for the loan Originator

550.1 Intake Financial Activity Mortgage Conventional fixed mortgage Making payments Escrow accounts

551.1 Intake Financial Activity Mortgage Conventional fixed mortgage Making payments Loan servicing

552.1 Intake Financial Activity Mortgage Conventional fixed mortgage Making payments Payments

553.1 Intake Financial Activity Mortgage Conventional fixed mortgage Problems when you are unable to pay Collection

554.1 Intake Financial Activity Mortgage Conventional fixed mortgage Problems when you are unable to pay Foreclosure

555.1 Intake Financial Activity Mortgage Conventional fixed mortgage Problems when you are unable to pay Loan modification

556.1 Intake Financial Activity Mortgage Conventional fixed mortgage Receiving a credit offer Credit decision

557.1 Intake Financial Activity Mortgage Conventional fixed mortgage Receiving a credit offer Underwriting

558.1 Intake Financial Activity Mortgage Conventional fixed mortgage Signing the agreement Costs

559.1 Intake Financial Activity Mortgage Conventional fixed mortgage Signing the agreement Settlement process

560.1 Intake Financial Activity Mortgage FHA mortgage Applying for the loan Application

561.1 Intake Financial Activity Mortgage FHA mortgage Applying for the loan Mortgage broker

562.1 Intake Financial Activity Mortgage FHA mortgage Applying for the loan Originator

563.1 Intake Financial Activity Mortgage FHA mortgage Making payments Escrow accounts

564.1 Intake Financial Activity Mortgage FHA mortgage Making payments Loan servicing

565.1 Intake Financial Activity Mortgage FHA mortgage Making payments Payments

566.1 Intake Financial Activity Mortgage FHA mortgage Problems when you are unable to pay Collection

567.1 Intake Financial Activity Mortgage FHA mortgage Problems when you are unable to pay Foreclosure

568.1 Intake Financial Activity Mortgage FHA mortgage Problems when you are unable to pay Loan modification

569.1 Intake Financial Activity Mortgage FHA mortgage Receiving a credit offer Credit decision

570.1 Intake Financial Activity Mortgage FHA mortgage Receiving a credit offer Underwriting

571.1 Intake Financial Activity Mortgage FHA mortgage Signing the agreement Costs

572.1 Intake Financial Activity Mortgage FHA mortgage Signing the agreement Settlement process

573.1 Intake Financial Activity Mortgage Home equity loan/line of credit Applying for the loan Application

574.1 Intake Financial Activity Mortgage Home equity loan/line of credit Applying for the loan Mortgage broker

575.1 Intake Financial Activity Mortgage Home equity loan/line of credit Applying for the loan Originator

576.1 Intake Financial Activity Mortgage Home equity loan/line of credit Making payments Escrow accounts

577.1 Intake Financial Activity Mortgage Home equity loan/line of credit Making payments Loan servicing

578.1 Intake Financial Activity Mortgage Home equity loan/line of credit Making payments Payments

579.1 Intake Financial Activity Mortgage Home equity loan/line of credit Problems when you are unable to pay Collection

580.1 Intake Financial Activity Mortgage Home equity loan/line of credit Problems when you are unable to pay Foreclosure

581.1 Intake Financial Activity Mortgage Home equity loan/line of credit Problems when you are unable to pay Loan modification

582.1 Intake Financial Activity Mortgage Home equity loan/line of credit Receiving a credit offer Credit decision

583.1 Intake Financial Activity Mortgage Home equity loan/line of credit Receiving a credit offer Underwriting

584.1 Intake Financial Activity Mortgage Home equity loan/line of credit Signing the agreement Costs

585.1 Intake Financial Activity Mortgage Home equity loan/line of credit Signing the agreement Settlement process

586.1 Intake Financial Activity Mortgage Other mortgage/refinance/second Applying for the loan Application

587.1 Intake Financial Activity Mortgage Other mortgage/refinance/second Applying for the loan Mortgage broker

588.1 Intake Financial Activity Mortgage Other mortgage/refinance/second Applying for the loan Originator

589.1 Intake Financial Activity Mortgage Other mortgage/refinance/second Making payments Escrow accounts

590.1 Intake Financial Activity Mortgage Other mortgage/refinance/second Making payments Loan servicing

591.1 Intake Financial Activity Mortgage Other mortgage/refinance/second Making payments Payments

592.1 Intake Financial Activity Mortgage Other mortgage/refinance/second Problems when you are unable to pay Collection

593.1 Intake Financial Activity Mortgage Other mortgage/refinance/second Problems when you are unable to pay Foreclosure

594.1 Intake Financial Activity Mortgage Other mortgage/refinance/second Problems when you are unable to pay Loan modification

595.1 Intake Financial Activity Mortgage Other mortgage/refinance/second Receiving a credit offer Credit decision

596.1 Intake Financial Activity Mortgage Other mortgage/refinance/second Receiving a credit offer Underwriting

597.1 Intake Financial Activity Mortgage Other mortgage/refinance/second Signing the agreement Costs

598.1 Intake Financial Activity Mortgage Other mortgage/refinance/second Signing the agreement Settlement process

599.1 Intake Financial Activity Mortgage Reverse mortgage Applying for the loan Application

600.1 Intake Financial Activity Mortgage Reverse mortgage Applying for the loan Mortgage broker

601.1 Intake Financial Activity Mortgage Reverse mortgage Applying for the loan Originator

602.1 Intake Financial Activity Mortgage Reverse mortgage Making payments Escrow accounts

603.1 Intake Financial Activity Mortgage Reverse mortgage Making payments Loan servicing

604.1 Intake Financial Activity Mortgage Reverse mortgage Making payments Payments

605.1 Intake Financial Activity Mortgage Reverse mortgage Problems when you are unable to pay Collection
Page 14 of 18

606.1 Intake Financial Activity Mortgage Reverse mortgage Problems when you are unable to pay Foreclosure

607.1 Intake Financial Activity Mortgage Reverse mortgage Problems when you are unable to pay Loan modification

608.1 Intake Financial Activity Mortgage Reverse mortgage Receiving a credit offer Credit decision

609.1 Intake Financial Activity Mortgage Reverse mortgage Receiving a credit offer Underwriting

610.1 Intake Financial Activity Mortgage Reverse mortgage Signing the agreement Costs

611.1 Intake Financial Activity Mortgage Reverse mortgage Signing the agreement Settlement process

612.1 Intake Financial Activity Mortgage VA mortgage Applying for the loan Application

613.1 Intake Financial Activity Mortgage VA mortgage Applying for the loan Mortgage broker

614.1 Intake Financial Activity Mortgage VA mortgage Applying for the loan Originator

615.1 Intake Financial Activity Mortgage VA mortgage Making payments Escrow accounts

616.1 Intake Financial Activity Mortgage VA mortgage Making payments Loan servicing

617.1 Intake Financial Activity Mortgage VA mortgage Making payments Payments

618.1 Intake Financial Activity Mortgage VA mortgage Problems when you are unable to pay Collection

619.1 Intake Financial Activity Mortgage VA mortgage Problems when you are unable to pay Foreclosure

620.1 Intake Financial Activity Mortgage VA mortgage Problems when you are unable to pay Loan modification

621.1 Intake Financial Activity Mortgage VA mortgage Receiving a credit offer Credit decision

622.1 Intake Financial Activity Mortgage VA mortgage Receiving a credit offer Underwriting

623.1 Intake Financial Activity Mortgage VA mortgage Signing the agreement Costs

624.1 Intake Financial Activity Mortgage VA mortgage Signing the agreement Settlement process

625.1 Intake Financial Activity Mortgage and related information Condominium or HOA Fees

626.1 Intake Financial Activity Mortgage and related information Homeowner's Insurance

627.1 Intake Financial Activity Mortgage and related information Property Taxes

628.1 Intake Financial Activity Non-bank money services Check cashing and related services

Check cashing, cashing of traveler's checks, 

money order, other

629.1 Intake Financial Activity Non-bank money services Direct deposit products Prepaid cards, direct deposit accounts, other

630.1 Intake Financial Activity Non-bank money services Money transfers or bill payments Domestic money transfers or bill payments

631.1 Intake Financial Activity Non-bank money services Money transfers or bill payments International money transfers or bill payments

632.1 Intake Financial Activity Non-bank money services Purchase and use of payment instruments Currency, drafts, other

633.1 Intake Financial Activity Non-bank money services Purchase and use of payment instruments Money orders, prepaid cards, traveler's checks

634.1 Intake Financial Activity Other consumer loans Personal line of credit Shopping for a credit line Credit denial

635.1 Intake Financial Activity Other consumer loans Personal line of credit Shopping for a credit line

Misleading marketing and sales 

tactics

636.1 Intake Financial Activity Other property identifiers Account contact information

637.1 Intake Financial Activity Other property identifiers Account number

638.1 Intake Financial Activity Other property identifiers Credit card number

639.1 Intake Financial Activity Other property identifiers Customer or client number

640.1 Intake Financial Activity Other property identifiers Image of certificate of interest

641.1 Intake Financial Activity Other property identifiers Image of prepaid card or other instrument

642.1 Intake Financial Activity Other property identifiers Individual taxpayer id number

643.1 Intake Financial Activity Other property identifiers Loan number

644.1 Intake Financial Activity Other property identifiers Mortgage loan number

645.1 Intake Financial Activity Other property identifiers Policy number

646.1 Intake Financial Activity Other property identifiers Social security number

647.1 Intake Financial Activity Payday lending Deposit advance or payday lending

648.1 Intake Financial Activity Payday lending Fraudulent transaction/not owed

649.1 Intake Financial Activity Payday lending Improper debt collection

650.1 Intake Financial Activity Payday lending Improper disclosures

651.1 Intake Financial Activity Payday lending Improper withdrawal from bank account

652.1 Intake Financial Activity Payday lending Loan or service

653.1 Intake Financial Activity Payday lending Not able to repay

654.1 Intake Financial Activity Payday lending Online or internet loan Employee/Agent contact

655.1 Intake Financial Activity Payday lending Overpayment

656.1 Intake Financial Activity Payday lending Paid too much in fees 
Page 15 of 18

657.1 Intake Financial Activity Payday lending

Payment improperly allocated between principal 

and interest

658.1 Intake Financial Activity Payday lending State of residence

659.1 Intake Financial Activity Payday lending State where transaction executed

660.1 Intake Financial Activity Payday lending Storefront lender Address

661.1 Intake Financial Activity Payday lending Unlicensed lender

662.1 Intake Financial Activity Payday lending Violation of state law

663.1 Intake Financial Activity Prepaid Cards Access to account balance and information

664.1 Intake Financial Activity Prepaid Cards Access to funds

665.1 Intake Financial Activity Prepaid Cards Adding money (or reloading)

666.1 Intake Financial Activity Prepaid Cards ATM withdrawal

667.1 Intake Financial Activity Prepaid Cards Bill payment

668.1 Intake Financial Activity Prepaid Cards Card name

669.1 Intake Financial Activity Prepaid Cards Card number

670.1 Intake Financial Activity Prepaid Cards Customer service phone number Back of card reference

671.1 Intake Financial Activity Prepaid Cards Employer's name Payroll card

672.1 Intake Financial Activity Prepaid Cards Enrollment/purchase fees

673.1 Intake Financial Activity Prepaid Cards Fee disclosure

674.1 Intake Financial Activity Prepaid Cards Issuing bank's name Back of card reference

675.1 Intake Financial Activity Prepaid Cards Linkage to payday loan

676.1 Intake Financial Activity Prepaid Cards Logo

Payment network, American Express, Discover, 

MasterCard or Visa

677.1 Intake Financial Activity Prepaid Cards Lost or stolen card

678.1 Intake Financial Activity Prepaid Cards Monthly maintenance fees

679.1 Intake Financial Activity Prepaid Cards Other fees 

Paper statements, declined transactions, 

inactivity, account closing, and replacement card

680.1 Intake Financial Activity Prepaid Cards Overdraft fees

681.1 Intake Financial Activity Prepaid Cards Reloadable (Open Loop)

682.1 Intake Financial Activity Prepaid Cards Swipe fee

683.1 Intake Financial Activity Prepaid Cards Type of card Campus

684.1 Intake Financial Activity Prepaid Cards Type of card General purpose

685.1 Intake Financial Activity Prepaid Cards Type of card Gift

686.1 Intake Financial Activity Prepaid Cards Type of card Government benefits

687.1 Intake Financial Activity Prepaid Cards Type of card Payroll

688.1 Intake Financial Activity Prepaid Cards Type of card Transit

689.1 Intake Financial Activity Prepaid Cards Unauthorized transactions or transfers

690.1 Intake Financial Activity Prepaid Cards Website Back of card reference

691.1 Intake Financial Activity Prepaid Cards When and where card obtained

692.1 Intake Financial Activity Related Consumer Action Contacted another government agency

693.1 Intake Financial Activity Related Consumer Action Contacted CFPB

694.1 Intake Financial Activity Related Consumer Action Contacted company

695.1 Intake Financial Activity Related Consumer Action Description of prior attempt at resolution

696.1 Intake Financial Activity Related Consumer Action Filed a legal action

697.1 Intake Financial Activity Related Consumer Action Hired an attorney

698.1 Intake Financial Activity Report of Loss Estimate of dollar value of loss

699.1 Intake Financial Activity Resolution Desired resolution description

700.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Getting a loan Confusing terms

701.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Getting a loan Credit denial

702.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Getting a loan Disbursement problems

703.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Getting a loan For profit college

704.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Getting a loan

Misleading marketing and sales 

tactics
Page 16 of 18

705.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Getting a loan Rates and fees

706.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Inability to repay Bankruptcy

707.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Inability to repay Collection

708.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Inability to repay Default

709.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Inability to repay For profit college

710.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Inability to repay Income based repayment

711.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Inability to repay Interest rate reduction

712.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Inability to repay Loan forgiveness

713.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Inability to repay Rehabilitation/workout

714.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Inability to repay Repayment term extension

715.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Paying a loan Billing

716.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Paying a loan Collections from co-signer

717.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Paying a loan Credit reporting

718.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Paying a loan Deferment/forbearance

719.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Paying a loan For profit college

720.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Paying a loan Fraud

721.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Paying a loan Income based repayment

722.1 Intake Financial Activity Student Loans

 ( g , , , , 

Consolidated, PLUS) Paying a loan Loan amount increase

723.1 Intake Financial Activity Student Loans

 ( g , , , , 

Consolidated, PLUS) Paying a loan Repayment fees

724.1 Intake Financial Activity Student Loans

Federal (e.g., Perkins, Stafford, Direct, 

Consolidated, PLUS) Paying a loan Servicer problems

725.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Getting a loan Confusing terms

726.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Getting a loan Co-signer issue

727.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Getting a loan Credit denial

728.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Getting a loan Disbursement problems

729.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Getting a loan For profit college

730.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Getting a loan Institutional Loan

731.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Getting a loan

Misleading marketing and sales 

tactics

732.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Getting a loan Rates and fees

733.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Inability to repay Bankruptcy

734.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Inability to repay Collection
Page 17 of 18

735.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Inability to repay Default

736.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Inability to repay For profit college

737.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Inability to repay Income based repayment

738.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Inability to repay Interest rate reduction

739.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Inability to repay Loan forgiveness

740.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Inability to repay Rehabilitation/workout

741.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Inability to repay Repayment term extension

742.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Paying a loan Billing

743.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Paying a loan Collections from co-signer

744.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Paying a loan Co-signer issue

745.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Paying a loan Credit reporting

746.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Paying a loan Deferment/forbearance

747.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Paying a loan For profit college

748.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Paying a loan Fraud

749.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Paying a loan Income based repayment

750.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Paying a loan Loan amount increase

751.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Paying a loan Repayment fees

752.1 Intake Financial Activity Student Loans

Non-federal (e.g., private, alternative, other 

student loan) Paying a loan Servicer problems

753.1 Intake Financial Activity Supportive documents (upload) Bank or other account Statements

754.1 Intake Financial Activity Supportive documents (upload) Contract, agreement, or application

755.1 Intake Financial Activity Supportive documents (upload) Correspondence

756.1 Intake Financial Activity Supportive documents (upload) Other

757.1 Intake Financial Activity Supportive documents (upload) Proof of mailing or delivery

758.1 Intake Financial Activity Tangible property Description Residential 1 to 4 Family

759.1 Intake Financial Activity Tangible property Images

760.1 Intake Financial Activity Tangible property Physical location

761.1 Intake Financial Activity Time of event Date

762.1 Intake Financial Activity Use of Consumer Financial Services Consumer leasing

763.1 Intake Financial Activity Use of Consumer Financial Services Individual retirement account (IRA)

764.1 Intake Financial Activity Use of Consumer Financial Services Pawned an item

765.1 Intake Financial Activity Use of Consumer Financial Services Safe deposit box

766.1 Intake Financial Activity Use of Consumer Financial Services Used prepaid debit card

767.1 Intake Financial Activity Other property identifiers Image of contract

768.1 Intake Other Identity Theft

769.1 Intake Other Individual Retirement Account (IRA)

770.1 Intake Other Pawn Broker

771.1 Intake Other Safe Deposit Box

772.1 Intake Other Emerging Financial Activity in Consumer Market
Page 18 of 18

773.1 Intake Preferences Access to confidential financial information Authorization or Agreement

774.1 Intake Preferences Consumer Communication Email

775.1 Intake Preferences Consumer Communication Mail

776.1 Intake Preferences Consumer Communication Phone

777.1 Intake Preferences Consumer Communication SMS

778.1 Intake Preferences

Emergency Alert or Notification (e.g., identity 

theft) Email

779.1 Intake Preferences

Emergency Alert or Notification (e.g., identity 

theft) Mail

780.1 Intake Preferences

Emergency Alert or Notification (e.g., identity 

theft) Phone 

781.1 Intake Preferences

Emergency Alert or Notification (e.g., identity 

theft) SMS

782.1 Intake Preferences Interview Release Authorization or Agreement

783.1 Intake Preferences Public Database Opt out or Opt in

784.1 Intake Preferences Third Party or Media Publication Release Authorization or Agreement 

785.1 Intake Preferences Time to Contact Morning, Early Afternoon, Late Afternoon

786.1 Intake Property Development Settlement Service

787.1 Intake Property Development Subdivision and Condo Development

788.1 Intake Subject Profile Business Mailing Address

789.1 Intake Subject Profile City or County

790.1 Intake Subject Profile City/state of school 

791.1 Intake Subject Profile Company Name

792.1 Intake Subject Profile Contact Email

793.1 Intake Subject Profile Public Response to Public Database Entry Opt out or Opt in

794.1 Intake Subject Profile Doing business as name or fictitious name

795.1 Intake Subject Profile Employee/Agent Information Employee Email

796.1 Intake Subject Profile Employee/Agent Information Employee ID

797.1 Intake Subject Profile Employee/Agent Information Employee Name (First, Last, MI)

798.1 Intake Subject Profile Employee/Agent Information Employee Phone Number

799.1 Intake Subject Profile Employee/Agent Information Physical location

800.1 Intake Subject Profile Fax

801.1 Intake Subject Profile Images of financial product

802.1 Intake Subject Profile Merchant Name

803.1 Intake Subject Profile Mortgage Servicer

804.1 Intake Subject Profile Name of school 

805.1 Intake Subject Profile Organizational Biography

806.1 Intake Subject Profile Organizational Website URL

807.1 Intake Subject Profile Phone Number

808.1 Intake Subject Profile Physical Office Address Non-US office address

809.1 Intake Subject Profile Registration

810.1 Intake Subject Profile State

811.1 Intake Subject Profile Type of Service Provider

812.1 Intake Subject Profile Username

813.1 Intake Subject Profile Vendor/Service Provider Name

814.1 Intake Subject Profile Zip Code

815.1 Intake Third Party Status Receipt of Payment - Fee for Service 

816.1 Intake Third Party Status Proof of Authorization to Represent Consumer

817.1 Intake Third Party Status Type of Agent for the Consumer