Complaint Form – Anonymous Submission

Key Information

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  1. Hover over the form name with your mouse
  2. Right-click and select “Save link as” to save the form. This will allow you to save the form in a location of your choosing (file folder, etc.). Note: Do not use the browser’s “Open” feature.
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  5. Right-click and select “open with…” and in the menu select “Adobe Acrobat Reader”

Use this form if you want to submit a complaint to FSRA without disclosing your name. Make sure to provide all relevant information to investigate your complaint as we will not be able to contact you for questions or clarification. If you want to provide your name in the complaint which allows FSRA to contact you, use complaint form GF-012.

GF-013E

GF-013E-p

Form details

Form number: GF-013
Form title: Complaint Form – Anonymous Submission
Sector: Cross Sector, Insurance Prudential, Auto Insurance, Co-operative Corporations, Credit Unions and Caisses Populaires, Financial Planners and Financial Advisors, Health Service Providers, Licensing, Life and Health Insurance, Loan and Trust, Mortgage Brokering, Pensions, Property and Casualty and General Insurance
Purpose of form:

This document allows consumers and industry members to submit complaints to FSRA regarding individuals or entities licensed within the sectors regulated by FSRA without disclosing their name.
Last update: 2025-02-10