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Complaints Form

Tell us about your problem

Is the problem impacting you or someone else?

If you don't have this number to hand, don't worry, you can continue without it.

Let us know what the problem is and how it's impacted you. Please provide as much detail as you can so we can help you out quickly.

If you have any documents or images that provide further detail about your complaint, please add them here.

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Next we'll get your contact information.

Your details

Is there anything we should know before trying to contact you. Please tell us.

Next, you can review all of your info before submitting your complaint.

Check your details

Please make sure all of the information is correct before you submit your complaint. We aim to respond to complaints within 72 hours.

About your complaint

Your Involvement
Is the problem related to a claim?
Policy reference
Reason for complaint
Supporting docs

About you

First name
Email address
Contact number
Date of birth
Special requirements