Online Application

Apply to become a member of Financial Services Complaints Limited

Thank you for choosing to join FCSL.

To submit your application, click Next, then complete the form.

Add another company or individual to your application for membership.

To submit your application, click Next then complete the form.

Member type

Member type(Required)

FSP number(Required)

Personal applicant details

Also used as the contact for communications and complaints.

Surname(Required)

First names(Required)

Known as

Email address(Required)

Contact phone(Required)

Mobile phone

Company details

Name of company(Required)

FSP number(Required)

Trading name (as on FSPR)

Website

Type of business

Number of employed advisers

Size of loan book

Approximate amount of transactions in NZD per annum

Amount of premium revenue per annum

Amount of funds under management

Face value of securities

Approximate transactions/lending amount per annum

Physical address

Street 1(Required)

Street 2

Suburb

City/Town(Required)

Postcode(Required)

Use the same physical address for my postal address

Postal address

Street 1(Required)

Street 2

Suburb

City/Town(Required)

Postcode(Required)

Communications contact

Someone who can support us in administration enquiries and receive invoices.

Surname(Required)

First names(Required)

Known as

Email address(Required)

This email address will be used for all communications related to your membership application.

Contact phone(Required)

Mobile phone

Use communications contact for complaints

Complaint contact

Someone who we can contact for our complaints referral process. These contact details will be visible to the public on our website.

Surname(Required)

First names(Required)

Known as

Email address(Required)

Contact phone(Required)

Mobile phone

Professional association or group

Are you a member of a professional association or group?

What is the professional association you are a member of?

What is the professional group you are a member of?

Types of financial services provided

What types of financial service/s do you provide?

In your own words, tell us a little about the financial service you provide

How did you find out about us?

Confirmation

Full name(Required)

I confirm that I have read, and I agree to be bound by, the terms of participation and the scheme rules set out in FSCL’s terms of reference. See our participation agreement, constitution and terms of reference.

Agree(Required)

Agree