Complaint Form

Key Information

Please review the following instructions to download the forms

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  1. Hover over the form name with your mouse
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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 that includes your name. This allows FSRA to contact you for questions or clarification. If you want to submit a complaint without including your name, use anonymous submission complaint form GF-013.

GF-012E

GF-012E-p

Form details

Form number: GF-012
Form title: Complaint Form
Sector: Cross Sector, Insurance Prudential, Auto Insurance, Co-operative Corporations, Credit Unions and Caisses Populaires, Financial Planners and Financial Advisors, Health Service Providers, 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.
Last update: 2025-02-07