Dfpi form 2026

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The document is a Statement of Identity and Questionnaire from the California Department of Financial Protection and Innovation (DFPI) that collects personal and professional information from individuals applying for or associated with a financial business license. It includes sections for personal identification, employment history, legal background, and licensing status, along with privacy notices regarding the collection and use of personal information.

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Click ‘Get Form’ to open the dfpi form in the editor.
Begin by entering the File Number and Licensee (Company Name) at the top of the form. This identifies your submission.
Fill in your Legal Full Name, including First, Middle, and Last Names. Avoid using initials or nicknames for accuracy.
Complete personal details such as Sex, Hair Color, Eye Color, Birthdate, Height, Birthplace, and Social Security Number. Refer to Commissioner’s Release 2-G for guidance on providing your Social Security Number.
Provide your contact information including Residence Phone Number, Email Address, and Business Phone Number along with Hours of Employment.
List your residence addresses for the last 10 years. If more space is needed, attach a separate schedule.
Detail your employment history for the last 10 years including Employer Name and Address along with Occupation and Duties.
Answer all questions regarding legal history honestly. Attach any necessary documents if you answer 'Yes' to any inquiries about court actions or investigations.
Finally, complete the verification section at the end of the form ensuring it is signed before a Notary Public if executed outside California.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (54 Votes)
2017	4.3 Satisfied (50 Votes)

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How do I file a complaint with DFPi CA?

About the Complaint Process For details, visit the DFPI File a Complaintopens in a new window webpage or contact us at Ask.DFPI@dfpi.ca.gov or call toll-free at (866) 275-2677. DFPI forwards the complaint: Once submitting your complaint, the DFPI will send your complaint to the company for review.

How to notify CA DFPi of new company address?

If you have a new address at the time of your transition, you must report it to the CA-DFPI before you transition by submitting the CFL Change of Address Form by mail to the CA-DFPI, and then you may enter your new address during your transition onto NMLS. Address changes require 10 days advance notice to the CA-DFPI.

What is one penalty that the CA DFPi can levy for a violation?

For any violation of this division, rule or final order, or condition imposed in writing by the department, a penalty may not exceed the greater of either five thousand dollars ($5,000) for each day during which the violation or failure to pay continues, or two thousand five hundred dollars ($2,500) for each act or

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What is the DFPI?

The California Department of Financial Protection and Innovation (DFPI) supports a healthy and trusted financial marketplace in California through regulation and enforcement that protects consumers and enables responsible innovation.

How do I file a complaint with DFPI CA Gov?

For details, visit the DFPI File a Complaintopens in a new window webpage or contact us at Ask.DFPI@dfpi.ca.gov or call toll-free at (866) 275-2677. DFPI forwards the complaint: Once submitting your complaint, the DFPI will send your complaint to the company for review.

How to professionally file a complaint?

DFPI Mission Serve Californians by effectively overseeing financial service providers; enforcing laws and regulations; promoting innovation and fair and honest business practices; enhancing consumer awareness; and protecting consumers by preventing potential marketplace risks, fraud, and abuse.

Dfpi form 2026

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