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Insurance Complaints
FreeAdvice Insurance Complaint Form
If you have a complaint about an insurance company, FreeAdvice will try to help you. Just fill out this form. We will not use your personal information (Name, Phone, email) except to respond to your complaint.

First Name
Last Name
  Daytime Phone
() 		  Other Phone
()
Email Address
Confirm Email Address
Why?
Please be sure that your contact information, especially phone, email address and zip code are correct. We will not use personal information for any purpose other than to respond to your complaint.
What type of insurance is involved?
Who is involved?
  Me
  My Spouse
  A child
  A parent
  Other Relative or Friend
  My Business
When did this problem arise?   Year:
Approximately how much money do you think is involved in YOUR matter?
Briefly describe your complaint:
In 200 words or less. Please do NOT include items that you regard as confidential.

Word Count:
What have you done to this point in an effort to solve the problem?
(Check all that apply)
  Spoke to agent
  Spoke to Company’s toll free number
  Wrote letter to Company
  Contacted Better Business Bureau
  Contacted a state insurance department
  Retained a Lawyer
  Other  
What is the name of the insurance company involved?
 
  This is my insurance company.
  This is the other person’s company (if any).
Does this involve insurance obtained through an employment relationship?
  No, purchased entirely on our own.
  Yes, even if partially paid by employee.
What would you like us to do?   (Check all that apply)
  Review and make suggestions
  Send to an insurance lawyer for free evaluation, if appropriate

By Clicking Submit you agree to the following Free Complaint Review Agreement
Verify   Please re-type code here:









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