Each depositor insured to at least $250,000 per insured bank

   FDIC 3064-0190  Expiration Date: 3/31/2016
   FRB 7100-0135  Expiration Date: 2/29/2016
   OCC 1557-0314  Expiration Date: 3/31/2016
   OMB 1557-0314  Expiration Date: 3/31/2016
Interagency Appraisal Complaint Form
Privacy Act Statement Paperwork Reduction Act Notice

Purpose: This form collects information about complaints of non-compliance with the appraisal independence standards and the Uniform Standards of Professional Appraisal Practice, including complaints from appraisers, individuals, financial institutions, and other entities.

Complaint Process: Your complaint will be reviewed by the appropriate regulator(s). Please do not submit documents with your complaint, as the regulator(s) will contact you if more information is needed. Please note the regulator(s) may not be able to provide the resolution you request because of legal and other constraints. For example, regulator(s) considering a complaint do not have jurisdiction to directly award damages, settle fee disputes, or act as your attorney or expert witness. A regulator’s review of your complaint will focus on potential violations of applicable law or regulatory policy and could result in a regulator taking action(s) against the entity about which you are complaining.

Do not include any information in your complaint that you consider confidential or do not want disclosed during the complaint review process. While completing this form is voluntary, failure to provide all of the information may delay or prevent the appropriate regulator from reviewing your complaint.
 
Whistleblowers: Federal and state laws offer protection for whistleblowers.

*Required Fields
Your Information:
* *
                  
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Phone numbers must be numeric, no dashes or parentheses (ex:1234567890)
          
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*Who are you? Please check the most appropriate option.
Individual Property Owner
Mortgage Broker
Business Property Owner 
Appraiser
Financial Institution Lender
Appraisal Management Company
Non-Financial Institution Lender
Other   
 
*Who are you complaining about? Check all that apply.
Appraiser
Appraisal Management Company
Lender
Other   
Are you employed by the subject of your complaint? Yes  No

* Please provide information regarding the person or entity you are complaining about. If more than one, please provide information in the “Describe your complaint” section, below.
                  
Phone numbers must be numeric, no dashes or parentheses (ex:1234567890)
                 
* *
*What is the nature of your complaint? Check all that apply.
Appraiser independence
Non-compliance with Uniform Standards of Professional Appraisal Practice
Improper (or attempted improper) influencing of an appraiser or the appraisal process
Removal or exclusion from an approved appraiser list or addition to a “do not use” list
Appraisal fee-related issue
Appraisal report inaccurate
Other   

* Please provide information about your complaint
* Type of the Property Residential 1-to-4 Family   Commercial or Multi-Family (over 4 units)

Address of Property
          *
* * *

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                  Who did you contact?
 
*Describe your complaint
Briefly describe your complaint. Do not submit any documents with your complaint. You will be contacted if more information is needed.
       

For more information on appraiser independence or the Uniform Standards of Professional Appraisal Practice (USPAP), go to: http://ReferMyAppraisalComplaint.ASC.gov.
 
*Checking this box authorizes the FDIC to respond and investigate (if applicable) your concerns.

 

Last Updated 05/30/2013 supervision@fdic.gov