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How to fill out the Phone 866-445-5364 online
The Illinois Department of Insurance provides a Consumer Complaint Form for individuals to report grievances regarding their insurance policies. This guide will assist you in filling out the Phone 866-445-5364 form online efficiently and accurately.
Follow the steps to complete your consumer complaint form.
- Press the ‘Get Form’ button to access the Consumer Complaint Form and open it in your preferred online editor.
- Begin filling out your personal information. Indicate whether this complaint has been filed before by selecting 'Yes' or 'No' and provide the previous complaint number if applicable. Include your name, date, address, city, state, phone number(s), and email address.
- If someone else is completing the form on your behalf, enter their name and relationship to the complainant. Otherwise, indicate 'Self'.
- List the name and address of the insurance company or agency against which you are filing the complaint. If the insured or policyholder differs from the complainant, fill in their name and policy number.
- In the 'This complaint is against' section, specify if the issue involves your insurance company, your insurance agent, or another individual’s insurance company. Provide the date of loss and zip code.
- Read the Insured/Complainant Authorization statement and sign your name alongside the date to authorize the investigation.
- If your complaint pertains to cancellation or non-renewal, complete that section by providing the effective date of the policy, termination date, and whether it's a new or renewal policy. Attach any relevant documents regarding this issue.
- Describe your complaint in detail, using additional pages if necessary, and attach any supporting documentation.
- Indicate your expectations for a fair resolution to your issue.
- Once you have filled out all relevant sections, review the form for accuracy. You can then save changes, download, print, or share the completed form as needed.
Complete your Consumer Complaint Form online today to ensure your concerns are addressed promptly.
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The Illinois Department of Insurance is the code department of the Illinois state government that regulates various facets of the insurance industries and professions of Illinois. Key insurance industries it regulates include health insurance, auto insurance, homeowners insurance, and life insurance.
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