Complaints Information

Please fill out the form below to begin the process of your complaint. Once we have checked your submission we will contact you to confirm if it is within scope and whether the company or organisation your complaint is with will engage in the process.

Step 1 of 2

Who are you complaining about? *

Please provide a summary or brief description of the pertinent points of your complaint: *

What is the nature of your complaint? *

What date did you first complain to the company? *

If your complaint does not have a deadlock letter and is under 8 weeks, we must suggest you wait until the 8 weeks have passed. If it is over 8 weeks but you do not have a deadlock letter, please ensure you provide evidence of contacting the company over 8 weeks ago.

Has the company provided their final response? *

Complaints Information

Please provide your details below

Title *

First Name *

Last Name *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Primary Telephone Number *

Secondary Telephone Number

Email *

Do you wish to appoint a third party representative? *

If you have chosen 'Yes' to appoint a third party representative please fill out the details below

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Terms & Conditions *

I have Read & Accept the Terms and Conditions

I would like Data Arbitration to look into my complaint. I understand and acknowledge that Data Arbitration will need to use my personal information and any appointed third party representative (including sensitive or personal information) and that Data Arbitration may need to share some or all of this information with the company with whom I have a complaint. I understand and acknowledge that Data Arbitration may publish the final decision in way of an annymised summary; I agree to provide true, accurate and full information about my complaint and will desist from contacting the company direclty or referring to this matter on social media

Phone