complaint

COMPLAINT FORM

If you wish to file a complaint against MP2B, a member of its staff or if you are not satisfied with the settlement of the insurer in your file, please complete the form below.

You will receive an acknowledgment of receipt within 5 working days of receiving your complaint.

Identification

Email address (required)

Phone number (required)

First name (required)

Name (required)

Address (required)

City (required)

Zip code (required)

Situation and nature of the complaint

Insurance contract number

Type of insurance/product (multiple answers possible) :Personal damage insurance (home, automobile)Business damage insurance (civil liability, construction sites, property , buildings…)Marine InsuranceBondsOther, specify:

Name of broker or person responsible for your file

Clearly summarize the situation that led you to file a complaint. Describe the facts in chronological order and try to answer the questions Who? What ? When ? (mandatory)

By completing this complaint form, what is the expected result? What solution do you propose? (required)

Declaration and documents

By submitting this form, you declare that the information provided is accurate, complete and honest to the best of your knowledge.

We will contact you if we need more details. Please retain all originals and copies of documents that you consider important to your complaint.

COMPLAINT FORM

Identification

Situation and nature of the complaint

Declaration and documents

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