Complaint Form

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Step One: Complainant’s Information

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Co-complainant’s/Representative’s Details:

The co-complainant is someone who has a joint account/policy with the complainant. A representative is someone who is submitting a complaint on behalf of someone else.

*If there are more than 2 persons making this complaint, please list the details of the other person(s) on a separate sheet of paper and attach it to this Form.
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Small Business’ Details:

If the complainant is a small business, the Form must be completed by someone who is authorized to act for the small business. To be considered a small business, you must attach sound proof that the assets of the business, without its land or buildings, is not valued at more than TT$1.5 million on the date when the complaint occurred. Proof includes audited financial statements or financial statements used for tax purposes.