Complaint form Submit a complaint about a business service. Use this form to submit complaints by insured persons. One or more of the requested fields are empty. Please fill out these fields. Your contact details Name of organisation Salutation Ms Mr Initials Last name Position Email address Telephone number What is your complaint? Please describe your complaint as clearly as possible, by answering questions such as: - What has happened? - What were your expectations? - What can we do for you? You can add an attachment for clarification Choose a file