Dispute Resolution Form

Dispute Resolution Form2018-12-05T09:33:01+00:00

Before the Financial Commission can consider your dispute, you need to have complained to the financial services provider and given it an opportunity to resolve your dispute. In most cases, it has 14 days to respond.

Action to date

Yes, I have previously lodged or registered this dispute with the Financial Commission.No, this is the first time I have lodged or registered this dispute with the Financial Commission.

Applicant details

Dispute details


Please include as much information as you can, including the type of product involved, the dates the problem occurred, the name, address and telephone number (if you know these) of all individuals and firms involved and a description of the problem (please attach a separate page if you need more space than provided)

Additional Comments


If you are seeking payment of a sum of money please provide any relevant calculations of your claim(s)

Supporting documents
Please attach copies of all documents you have that relate to your dispute. If your financial services provider has written to you about your dispute, please ensure that you provide a copy of its response.

Please do not submit the following information:

• Personal ID documents: passports, driver’s licenses or other forms of personal identification
• Financial documents: bank statements, debit/credit card details
• Login information: usernames or passwords for trading, banking or other accounts

Please note: Financial Commission representatives will never ask you for your personal or financial details in the process of handing client disputes.