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    Complaint Form

  • INSTRUCTIONS

  • 1. Before submitting a written complaint, please contact our Customer Service Department as they may be able to resolve your issue promptly or provide additional information about the product or service.

    • Quebec : 1-888-822-5382
    • Ontario : 1-866-732-2583

    2. If you are dissatisfied with the outcome of the review or the manner in which your file was processed, complete this form to submit a formal written complaint.

    You will receive an acknowledgement of receipt within ten days of your complaint being received. Please enclose copies of any documents you deem relevant in order to have a full understanding of your complaint. BE SURE TO KEEP YOUR ORIGINAL DOCUMENTS.

  • PERSONAL INFORMATION

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  • INSURER INFORMATION

  • Please correct the errors before continuing.                                                                          

  • YOUR COMPLAINT

  • Please correct the errors before continuing.                                                                          

  • Attach all applicable documents

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  • We reserve the right to request the original documents up to one year from the date of submission of your complaint.

  • *  By checking this box and sending us this form, you understand that we will process your personal information in accordance with the terms of our Privacy Policy. Please read our Privacy Policy available on our web site, which provides, without limitation, information about the categories of third parties to whom it is necessary to communicate your personal information, sometimes outside your province of residence, and your rights to access and correct your personal information.

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