Elder Financial Exploitation Red Flag Report Form

Internal form for branch staff to document and escalate suspected elder financial exploitation based on observed behavioral and transactional red flags.

Submission Notice

• What are you reporting?
• Your name
• Your role
• Date of submission

Customer and Account Details

• Customer name
• Is the customer age 60 or older?
• Preferred contact method on file
• Account identifier
  Use a masked account identifier or internal reference only. Do not enter a full account number.
• Branch or channel location

Observed Red Flags

• Observed red flag categories
• Behavioral observations
• Transactional observations
• Account change observations
• Other observed details

Transaction and Interaction Details

• Date of event
• Time of event
• Type of event
• Amount involved
• Currency
• Objective summary of what occurred
  Include only observable facts, customer statements, and actions taken. Avoid speculation.

Third-Party and Influence Indicators

• Was another person present or involved?
• Relationship of third party to customer
• Observed third-party behavior
• Was a private conversation attempted?

Actions Taken and Escalation

• Actions taken by staff
• Team notified
• Immediate risk level
• Is follow-up needed?
• Follow-up notes

Certification and Submission

• Certification
• Signature
• Submission timestamp