Please use the form below to email us your emergency contact information.
If you are uncomfortable using the internet to submit your emergency contact information, please print the forms when complete and attach them to a signed letter on your institution's letterhead and mail to:
Massachusetts Division of Banks
1000 Washington Street, 10th Floor
Boston, MA 02118-6400
attn: Bernard N. Waxman
Alternatively, the printed forms may be faxed to the attention of Bernard N. Waxman at 617-368-2496.
If you have any questions please call Bernard N. Waxman at 617-521-7581.
When you are done, be sure to hit the SEND button at the bottom of the form.