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Please provide your personal information below.

Please provide name and address information for the firm against whom you are filing a complaint. All fields surrounded by red must be completed. You may find the firm number and address by visiting the Board's Verification Page, choosing FIRM SEARCH at the top of the page and typing the firm's name on the verification form at https://www.boa.wv.gov/verifications/index.asp

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Page Updated: 1/9/2017 11:13:02 AM