If you are African-American or Hispanic and received a home mortgage loan from Wells Fargo Bank, NA between 2004 and 2009, please provide your contact information using the following form so that the Department of Justice may determine whether you are eligible for compensation. Required fields are indicated with an asterisk (*).
PLEASE NOTE: FILLING OUT THIS FORM IS NOT AN APPLICATION FOR RELIEF. Borrowers who are eligible for compensation from the settlement will be contacted by a claims administrator. The Department of Justice will use the contact information provided here to contact you about the claims process if necessary. If your contact information changes at any time, please submit your new information on this website using the same form, so that the Department of Justice can reach you at your most current address.
All information submitted through this website will be maintained and utilized in accordance with applicable federal law, including the Privacy Act of 1974, 5 U.S.C. § 552a, et seq.