Elder Financial Exploitation Red Flag Report Form

Internal escalation form for branch staff to document observed behavioral and transactional red flags that may indicate suspected elder financial exploitation and route the case for review.

Submission Notice

• Purpose of this report
• Your name
• Your role
• Best internal contact number or email
  Use an internal work contact so reviewers can follow up if needed.
• Date of report

Customer and Account Context

• Customer name
• Customer age range
• Account identifier or last 4 digits
  Do not enter full account numbers if not required by your internal process.
• Where was the concern observed?
• Date observed

Observed Red Flags

• Behavioral red flags observed
• Transactional red flags observed
• Was a third party involved?
• Third party relationship, if known
• Describe any coercion, pressure, or unusual instructions
• Estimated transaction amount
  Enter the approximate amount if known; do not guess.

Actions Taken

• Was the customer spoken with privately?
• Customer's explanation for the activity
  Record the customer's words as accurately as possible.
• Actions taken by staff
• Is there immediate risk of harm or loss?
• Follow-up required

Attachments and Certification

• Supporting documents
  Upload only documents allowed by policy, such as notes, screenshots, or transaction references. Avoid unnecessary PII.
• Attestation