Contact the Ombudsperson

Complaint Form

Please fill out your contact information and description of your complaint to have Unica’s Ombudsperson contact you.

First Name*
Last Name*
Policy or Claim Number
Email*
Phone Number
Fax
Address
Street Address Address Line 2 City Province Postal Code
Name of Unica employee who processed your file
Line of Business
- Personal Insurance
- Commercial Insurance
Please describe the nature of your complaint and briefly explain the steps you took to resolve this problem. Provide specific dates and times, as well as the names of people with whom you communicated.*
What possible outcome or settlement are you expecting or would consider fair in this situation?*
Please attach any documents that may provide further details on the current situation. Use the "Browse" button to attach a file to this form, if applicable.
Drop files here or

Accepted file types: doc, docx, pdf, xls, txt, rtf, jpg, jpeg, png, Max. file size: 3 MB.