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Click ‘Get Form’ to open the Illinois Department of Insurance Consumer Complaint Form in the editor.
Begin by indicating whether this complaint has been filed before. Check 'Yes' or 'No' and provide the complaint number if applicable.
Fill in your personal details, including your name (selecting the appropriate title), date of loss, address, city, state, phone number(s), and email address.
If you are not the insured or policyholder, provide their information as well. Include their name, address, city, state, phone number(s), and email address.
Specify your relationship to the insured and complete the policy number and claim number fields.
Indicate which insurance company or agency your complaint is against by filling in their details.
If applicable, complete the cancellation/non-renewal section with relevant dates and type of coverage.
Describe your complaint in detail. Attach any supporting documentation as needed.
Sign and date the form to authorize the Department of Insurance to investigate your complaint.
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IDOI also investigates complaints relating to insurance agents and brokers. auto, homeowners and life insurance issues. P: (800) 322-3722 F: (217) 558-0773
You can submit a complaint against a company or producer with DOI. Complaints are confidential records and will not be released to any person or organization.Read more
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