If you prefer to file your Securities Complaint Form with the Securities Division by U.S. mail or email, click here to download a PDF version .
Please contact the Securities Division at (602) 542-0662 with any questions.
In the space provided below, please explain the entire circumstances surrounding your complaint. It is important to include all details about the transaction, no matter how unimportant you may think they are. Please be specific about names, dates, or documents. State what part, if any, of the transaction occurred outside of Arizona. It is better to include too much information, rather than too little information. Describe the type of investment and any documents you received about your investment. Include copies of your documents when you submit this complaint to the Securities Division. *
Upload documents that support your complaint here:
Please contact the Securities Division at (602) 542-0662 for further instruction on uploading documents that exceed 50mb.
Declaration: I declare that the information contained in this complaint is true and accurate, to the best of my knowledge, and the information may be used to further investigate the complaint. I understand that A.R.S. section 41-1010 requires that a complainant disclose his or her name to the agency when reporting an alleged violation of the law. I understand that, pursuant to A.R.S. sections 44-2042 and 44-3300, the complainant's name is confidential unless it is made a matter of public record.
Under penalties of perjury, I declare that I have reviewed all of my responses to this complaint form, and to the best of my knowledge and belief, they are true, correct, and complete.