FDRS Complaint Form

It's easy to make a complaint

Your financial service provider must be registered with us in order for Financial Dispute Resolution Service to help resolve your complaint. You can find out if our financial service provider is a Financial Dispute Resolution Service member here.

Your Details

Your name *

Complainant name [ If different from above ]

Email address *

Address *

Country of Residence: *

Phone

Mobile number

Your Complaint

Which financial service provider is the complaint about? *

Account / Customer name [ If available ]

Complaint number [ If available ]

Deadlock number [ If available ]

What is your complaint about? *

When did the event take place? [Approximate] *

What would you like to happen to resolve the issue?

Have you made the complaint to the financial service provider concerned? *

YesNo

Have you made this complaint to any other authority? *

YesNo

Supporting Documents

Please upload up to five files below. The maximum file size is 30mb. You can upload most file types, but zip files are not accepted. If there is an issue with your file then we will warn you and you can change your submission.

Upload Supporting Document

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Allowed file types: gif, png, jpg, jpeg, doc, docx, eml, msg, pdf, xls, xlsx, png, txt, xlsx, rtf, tif, tiff, odt

Authorisation

Yes, I authorise my Financial Service Provider to release my information to FDRS. *

Yes, I understand that the maximum compensation that FDRS can award is $200,000 and by submitting this complaint I agree to waive my rights to any amount in excess of $200,000. *