Complaint

Problem details

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Supporting documents

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Your involvement *

Is the problem related to a claim? *

Yes No

Cover level *

Does the problem relate to underwriting/terms and conditions?

Yes No

Related guidance

Does the problem relate to arranging and administration of the policy?

Yes No

Related guidance

You will need to record another complaint to make sure you capture the two separate problems.

Claim reference

Policy reference

What happened? Please provide as much detail as you can to let us know what's gone wrong and how this has impacted you. This will help us to deal with your problem quickly *

Please provide details *

Supplier *

Details of action taken to resolve the issue *

Has the customer given consent for their complaint to be closed? *

Yes No

Was an outbound call made in the resolution of this complaint *

Yes No

Outcome *

Was Redress offered & accepted? *

Yes No

Record staff feedback *

Yes No

Record breach *

Yes No

How can we resolve this for you?