Complaint form

The fields marked with an * are required.

Your contact information

Identification of the firm

Identification of the product about which the complaint is being filed?*

Check more than one product, if applicable.

Damage insurance
Financial security

Describe your complaint

If you have any documents that you consider important in the analysis of your complaint, please forward them to [email protected]. 
Please keep the originals.

By submitting this information, you consent to Promutuel Insurance collecting, using, or communicating your personal information to respond to your request. For more details on how we handle your personal information, see our Legal Notice and Confidentiality section.

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