COMPLAINT HANDLING PROTOCOL FORM by cln12100

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									                                     Financial Services                   5160 Yonge Street
                                     Commission                           Box 85
                                     of Ontario                           Toronto, Ontario
                                                                          M2N 6L9




                                       COMPLAINT HANDLING PROTOCOL FORM


Company Name



Company Licence Number (For FSCO use)




                                     COMPANY/OMBUDSMAN LIAISON REPRESENTATIVE
                                                          (This name will be given out on request)


Name


Titles


Company Address


City                                                        Province                                 Postal Code



 Telephone Number              Area Code                                            Fax         Area Code
       (direct line)                                                               Number



              Third party mechanism for complaints remaining unresolved at the company level


                         CLHIO                        GIO                           OBSI

                         (If you use more than one FSON Ombudservice, please attach a note indicating which complaints go where)



                         OIO/FSCO



                         Other. Please specify ___________________________________________________________________________





The company has a complaint Protocol that has been communicated to all staff, adjusters and distribution systems. Information about
the Protocol is readily available to consumers upon request.

Signature of Officer                                                                                               Year        Month      Day
                                                                                             Date



Title of Officer





                       Note: Please notify the Ombudsman Services Branch of any information changes

                                                                                                                          372-om-i-e1-protocol
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