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Please click here to lodge your dispute online. If you need help, please call us on 1300 78 08 08
IOS has a system in
place for handling
complaints from
users of the service.
Click here for details
on our complaints
process.
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Name
Email address

     
Fields marked with an asterik* must be filled in
Contact Details
Title:  
First Name:*
Surname:*
Email:*
Address:  
Postal:*
Suburb:*
State:*
Postcode:*
Contact Numbers
Business:  
Home:  
Mobile:  
Fax:  
Are you lodging this dispute as an individual or on behalf of a business?:*
Business Name:  
Dispute Details:  
Name of Insurer you are
lodging this dispute about: 		 
Names of Policy Holder
(e.g. Mr John Smith): 		 
Policy Number (if known):  
Have you lodged a claim?:*
Have you contacted your insurer about this problem?:*
If yes, when did you lodge the claim?:*  
Claim Number (if known):  
If yes, which department/person did you speak to or have contact with?:  
If yes, when did you contact this department?:  
Has the insurer finalized its review of the dispute?:*
If yes, please provide details of the outcome and send a copy of any response received:
Summary of Dispute*
Please include specific details about what has happened and explain what you consider to be the financial services provider’s error. You should forward separately copies of any documentation you have to support your claim including a copy of any response received from the financial service provider.*
What do you consider to be a fair and reasonable resolution to the dispute.*
Do you have any documentation between yourself and the insurer to support your claim?:*
If yes, please advise how this is being submitted:
please attach the document  
Do you have legal / other representation?:
If yes, please provide name and contact details.