Complaints & Suggestions

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Customer & Policy Information

Policy Number*

Name & Surname*

Mobile Number*

Email*

Complaint Information

Which staff member from our office was involved? *

Ann-Shunnay van Deventer

Wimpie van Deventer

Anneline Croukamp

Tyler Fortuin

Christelle Hauptfleisch

Arina Pretorius

Rudolph Pretorius

Complaint type?*

Claims

Non-claims

Complaint Category?

Poor service

Dispute on amount

Other

Description of Issue*

How has this issue impacted you? *

Suggestions & Feedback

Suggested Resolution *

Suggestions for Improvement *

Hereby I confirm that the information provided is correct

Depending on the issue, the matter will be referred to the relevant division.

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