IN.gov - Skip Navigation

Note: This message is displayed if (1) your browser is not standards-compliant or (2) you have you disabled CSS. Read our Policies for more information.

Indiana Securities Division

Securities Division > File a Complaint > Securities Division Complaint Form Securities Division Complaint Form

The Indiana Securities Division can investigate possible violations of these statutes:

  • Indiana Securities Act (IC 23-2-1)
  • Indiana Loan Broker Act (IC 23-2-5)
  • Indiana Franchise Act (IC 23-2-2.5)
  • Indiana Takeover Offers Act (IC 23-2-3.1)
  • Indiana Collection Agency Act (IC 25-11)

* Required field

*


Securities/investments
Loan Broker
Franchise
Collection Agency
Takeover Offers

II. Please supply the following information about yourself:


*

*
(mm/dd/yyyy)

*

*

*
*

*

*

Cell Phone:

* III. Please supply the following information about the
person(s) and entities who you believe may have violated Indiana law:


Website:

Individual(s) involved:


1.


2.

Note: Please include any additional names in Section VI "Other Information".

*

V. Do you have any records of the transaction?

Yes   No

Please describe the documents you have:

VI. Please provide any other information here: