Complaint Form

We're here to help sort things out quickly and fairly, so please fill out this form completely.

When you're done, give it a once-over and hit submit.

We’ll get on it ASAP!

Client Details

Policy Details (if available and or relevant)

Complaint

Have you referred your complaint to any other organisation for resolution (e.g IBANZ, FSCL, IFSO)
Is this the first time you have made this complaint?

Privacy Act 2020

The personal information supplied by you to i2i Brokers Ltd or obtained about you by i2i Brokers Ltd, will be used only for the investigation of your complaint or, at the conclusion of the investigation, for reference purposes with i2i.

To enable the investigation of your complaint, personal information about you may be disclosed to the insurance company, or to a third party, unless you advise i2i you wish specific information not to be disclosed.

You have the right to request access to and correction of any personal information held by i2i.

You are entitled to be supplied, on request, with details of any agencies to which i2i has disclosed personal information about you. Failure to supply any personal information requested by i2i may affect the ability of i2i to consider and investigate your complaint.

The use of I/We Accept is as reliable as is appropriate given the purpose for which, and in the circumstances in which a signature is required