APPENDIXC: Contact information
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5 consumerfinance.gov!find-a-housing-counselor or by calling HUD's interactive toll-free number at The company that collects your mortgage payments is your loan servicer. This may not be the same company as your lender. If you have concerns about how your loan is being serviced or another aspect of your mortgage, you may wish to submit a complaint to the CFPB at consumerfinance.gov/complaintor by calling (855) 411-CFPB (2372). When you submit a complaint to the CFPB, the CFPB will forward your complaint to the company and work to get a response. Companies have 15 days to respond to you and the CFPB. You can review the company's response and give feedback to the CFPB. APPENDIXC: Contact information For additional information or to submit a complaint, you can contact the CFPB or one of the other federal agencies listed below, depending on the type of institution. If you are not sure which agency to contact, you can submit a complaint to the CFPB and if the CFPB determines that another agency would be better able to assist you, the CFPB will refer your complaint to that agency and let you know. Regulatory agency Consumer Financial Protection Bureau ( CFPB) P.O. Box 4503 Iowa City, IA Board of Governors of the Federal Reserve System (FRB) Consumer Help P.O. Box 1200 Minneapolis, MN Office of the Comptroller of the Currency ( OCC) Customer Assistance Group 1301 McKinney Street Suite 3450 Houston, TX Federal Deposit Insurance Corporation (FDIC) Consumer Response Center lloo Walnut Street, Box #11 Kansas City, MO Regulated entities Insured depository institutions and credit unions with assets greater than $10 billion (and their affiliates), and non-bank providers of consumer financial products and services, including mortgages, credit cards, debt collection, consumer reports, prepaid cards, private education loans, and payday lending Federally insured statechartered bank members of the Federal Reserve System National banks and federally chartered savings banks/ associations Federally insured statechartered banks that are not members of the Federal Reserve System Contact information (855) 411-CFPB (2372) consumerfinance.gov consumerfinance.gov/ complaint (888) federalreserve consumer help.gov (800) occ.tieas.gov helpwithmybank.gov (877) ASK-FDIC or (877) /die.gov fdic.gov/consumers Regulatory agency Federal Housing Finance Agency (FHFA) Consumer Communications Constitution Center 400 7th Street, S.W. Washington, DC National Credit Union Administration (NCUA) Consumer Assistance 1775 Duke Street Alexandria, VA Regulated entities Fannie Mae, Freddie Mac, and the Federal Home Loan Banks Federally charted credit unions Federal Trade Commission Finance companies, (FTC) retail stores, auto dealers, Consumer Response Center mortgage companies and 600 Pennsylvania Ave, N.W. other lenders, and credit Washington, DC bureaus Securities and Exchange Commission (SEC) Complaint Center l 00 F Street, N.E. Washington, DC Farm Credit Administration Office of Congressional and Public Affairs 1501 Farm Credit Drive McLean, VA Small Business Administration (SBA) Consumer Affairs 409 y d Street, S.W. Washington, DC Brokerage firms, mutual fund companies, and investment advisers Agricultural lenders Small business lenders Commodity Futures Commodity brokers, Trading Commission commodity trading (CFTC) advisers, commodity pols, Street, N.W. and introducing brokers Washington, DC U.S. Department of Justice (DOJ) Civil Rights Division 950 Pennsylvania Ave, N.W. Housing and Civil Enforcement Section Washington, DC Fair lending and housing issues Department of Housing Fair lending and housing and Urban Development issues (HUD) Office of Fair Housing/Equal Opportunity "' Street, S.W. Washington, DC Contact information Consumer Helpline (202) fhfa.gov fhfa.gov/default.aspx? Page=369 ConsumerHelp@jhfa. gov (800) ncua.gov mycreditunion.gov (877) FTC-HELP or (877) fee.gov fte.gov!bcp (202) sec.gov sec.gov/complaint/select.,html (703) fca.gov (800) U-ASK-SBA or (800) sba.gov (866) cftc.gov/consumerprotection (202) TTY-(202) FAX-(202) To report an incident of housing discrimination: l fairhousing@usdoj.gov (800) hud.gov/complaints 8 9
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COMPANYNAME. Address City, State, ZIP
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4B. Can you perform the essential job functions required of the position for which you are applying with or without accommodation?
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Applicant Information. Street Address Apartment/Unit # City State ZIP Code. Date Available: Social Security No.: Desired Salary:$ If yes, when?
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check on you, please complete the information below and include all past or current names used (e.g., maiden, surname, alias).
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Application for Employment
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