Complaint form

We will use the information on this form to consider your complaint. This form will be forwarded to your financial service provider for a response, so only include information you are comfortable sharing with the person or company you are complaining about. If there is any information you would like to provide to us that you do not want sent to your financial service provider, or if you have any questions about this form, please call us on 0800 347 257 or email complaints@fscl.org.nz.

"*" indicates required fields

Title

First names*

Surname*

Email address*

Phone*

Address

What is the name of the company or individual you are complaining about?*

What happened?*

Please tell us the details of your complaint.

How would you like this complaint to be resolved?*

Have you contacted your financial service provider about your complaint?*

Yes

If a representative is helping you with this complaint, could you please give us their name and contact details?

A representative could be a financial mentor, a lawyer, or anyone else assisting you with your complaint.

How did you hear about us?

Can we ask you some demographic questions?

Yes

Your answers will not affect how we investigate your complaint and will not be shared with your financial service provider. Your answers are stored securely and used only for statistical purposes.

Where in New Zealand are you based?

How would you describe your circumstances?

How would you describe your ethnicity?

How old are you?