NJ Insurance Department Official Company Complaint Form - njcarinsurance 2025

1. Click ‘Get Form’ to open the NJ Insurance Department Official Company Complaint Form in our editor.
2. Begin by entering your CIRC tracking number if you have one. This helps the department track your inquiry.
3. Fill in your personal information, including your name, address, and contact numbers. Be sure to indicate whether you are an agent, broker, or company.
4. If you are submitting the form on behalf of someone else, provide their details in the 'On Behalf Of' section.
5. Complete the 'Details of Complaint or Inquiry' section. Clearly describe your issue and attach any relevant documents using our platform’s attachment feature.
6. Select the nature of your complaint by checking the appropriate boxes such as Claim, Rate, Cancellation, or Service.
7. Indicate the type of policy involved and specify the state where it was issued.
8. Finally, sign and date the form electronically before submitting it via mail or fax as instructed.

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