OMB Control No. 

3038-0115

Commodity Futures Trading Commission 

Reparations Complaint Form 

If the space provided on this form is not sufficient, attach your own supplementary sheets containing the required information. This 

form must be typed or printed legibly. Note: Fill out both sides completely. 

1. COMPLAINANT’S NAME TEL.NO. (Home) TEL. NO (Work) FAX NO. EMAIL ADDRESS 

ADDRESS (Street) (City) (State) (ZIP) 

COMPLAINANT’S NAME TEL. NO. (Home) TEL. NO (Work) FAX NO. EMAIL ADDRESS 

ADDRESS (Street) (City) (State) (ZIP) 

2. Registered persons and/or firms you think violated the Commodity Exchange Act 

RESPONDENT’S NAME TEL. NO. FAX NO. EMAIL ADDRESS 

ADDRESS (Street) (City) (State) (ZIP) 

Was this individual/firm registered with the CFTC at the time of the alleged violation? YES NO 

RESPONDENT’S NAME TEL. NO. FAX NO. EMAIL ADDRESS 

ADDRESS (Street) (City) (State) (ZIP) 

Was this individual/firm registered with the CFTC at the time of the alleged violation? YES NO 

RESPONDENT’S NAME TEL. NO. FAX NO. EMAIL ADDRESS 

ADDRESS (Street) (City) (State) (ZIP) 

Was this individual/firm registered with the CFTC at the time of the alleged violation? YES NO 

3. If known, cite the specific portions of the Act, rules or regulations violated: 

4. Description of complaint. Describe in detail, giving names, dates and the facts which will show how the Commodity Exchange Act was violated 

and how you were injured by that violation. You must set forth this information on supplementary sheets which you must attach to this complaint 

form. 

5. Amount of damages claimed. You must include an explanation of how you calculated the damages you have claimed. 

6. Have you brought another action based on the same set of facts in an arbitration forum or civil court? YES NO 

7. If yes, has the case been decided? YES NO 

8. To your knowledge, are any of the respondents you named the subject of an ongoing receivership or 

bankruptcy proceedings? YES NO 

YOU MUST ALSO COMPLETE THE BACK OF THIS FORM 

CFTC Form 30 (Rev. 2/18) 

Previous editions are obsolete 
 

 

 

Important: You must enclose the total amount of the filing fee for the type of decisional procedure you select or your 

complaint will not be processed. Please indicate the procedure you select and enclose a check or money order made payable to the 

Commodity Futures Trading Commission in the total amount. The filing fee must accompany your complaint. (See attached Notice 

to Customers Making Payment by Check) Under no circumstances will the filing fee be refunded. CHECK ONE: 

$50 Voluntary Decisional Procedure. This procedure entitles you, if the respondents agree, to present your case in written 

form before a CFTC judgment officer. A final decision will be issued without explanation of the reasons. By electing the voluntary 

procedure, you will waive your right to appeal as well as prejudgment interest and costs. Post-judgment interest may be awarded if 

you prevail. 

$125 Summary Decisional Procedure. If your claim is $30,000 or less, it can be heard by a judgment officer. You may 

present your case in written form, and if deemed necessary by the judgment officer, orally, in Washington, or by telephone under this 

procedure. The judgment officer will issue brief statements of factual findings and conclusions based on law which are appealable 

first to the Commission and from there to a U.S. Court of Appeals. Prejudgment and post-judgment interest may be awarded if you 

prevail. 

$250 Formal Decisional Procedure. If your claim is over $30,000, it can be assigned to an administrative law judge (ALJ) for 

a formal hearing. You may present your case in written form. If oral testimony is deemed necessary by the ALJ, you may be required 

to travel up to 300 miles to attend the hearing. The ALJ will issue findings of fact and conclusions of law which are appealable first to 

the Commission and from there to a U.S. Court of appeals. Prejudgment and post-judgment interest may be awarded if you prevail. 

Notice: Filing fees, once paid to the Commodity Futures Trading Commission, are not refundable. Verify that the person or 

persons named in the complaint were registered with the CFTC at this time of the alleged offense. Call (202) 418-5506 for 

registration information. If individuals named in the complaint were registered, send the complaint form and check for the 

filing fee made payable to the Commodity Futures Trading Commission to: Proceedings Clerk, 1155 21st Street, N.W., 

Washington, D.C. 20581. 

VERIFICATION 

I hereby swear or affirm (under penalty of law) that the facts set forth in this complaint are known to be true or, based on my 

best information, are believed to be true. To the extent that any facts are believed, instead of known, to be true, the information upon 

which I formed that belief is set forth as follows (attach detailed, specific information on a supplementary sheet): 

Each complainant must sign: 

Complainant’s signature Date 

Complainant’s signature Date 

Notary Date 

PRIVACY ACT NOTICE: The Commission’s authority for soliciting this information is granted in 7 U.S.C. § 18 and Part 12 of the 

Commission’s regulations. The information on this form is primarily used by the Commission’s Office of Proceedings to determine if 

the complaint is sufficiently complete for further processing and to initiate and move forward a reparations proceeding. Information 

contained in the form and complaint may be used by the Commission during any and all phases of a reparations case including, but not 

limited to, discovery, litigation, appeals and in written opinions and orders. Information provided may be made public in accordance 

with provisions of the CEA and other applicable laws. Under “open government” principles and rules, the Commission generally posts 

final reparations and appellate decisions to its public website, which may result in the decisions being captured and displayed through 

Internet search engines. The information may also be disclosed to other government agencies or CFTC divisions, for example the 

Division of Enforcement, to meet their responsibilities assigned to them by law. It will be maintained and additional disclosures may 

be made in accordance with CFTC System of Records Notices, e.g., CFTC-3, Docket Files for Reparations and Administrative 

Adjudication and CFTC-29, Reparations Cases Closed in the Complaints Section, available on 

http://www.cftc.gov/Transparency/PrivacyOffice/SORN/index.htm. If you do not provide the requested information, the Office of 

Proceedings may not be able to process your complaint.