Licensee Complaints

AFSL Number

AFSL Name

Your full name

Reporting period

Who are you reporting on behalf of?

Adviser Code

Number of complaints reported

Complaint 1 information

Does this complaint relate to one or more policies? Example: MLCI and MLCIS

The nature of the reported complaint

General feedback

Please do not include any sensitive information or personal information such as Name, DOB or Address etc.

Policy number 1 of the reported complaint

Policy number 2 of the reported complaint

Complaint 2 information

Does this complaint relate to one or more policies? Example: MLCI and MLCIS

The nature of the reported complaint

General feedback

Please do not include any sensitive information or personal information such as Name, DOB or Address etc.

Policy number 1 of the reported complaint

Policy number 2 of the reported complaint

Complaint 3 information

Does this complaint relate to one or more policies? Example: MLCI and MLCIS

The nature of the reported complaint

General feedback

Please do not include any sensitive information or personal information such as Name, DOB or Address etc.

Policy number 1 of the reported complaint

Policy number 2 of the reported complaint

Complaint 4 information

Does this complaint relate to one or more policies? Example: MLCI and MLCIS

The nature of the reported complaint

General feedback

Please do not include any sensitive information or personal information such as Name, DOB or Address etc.

Policy number 1 of the reported complaint

Policy number 2 of the reported complaint

Complaint 5 information

Does this complaint relate to one or more policies? Example: MLCI and MLCIS

The nature of the reported complaint

General feedback

Please do not include any sensitive information or personal information such as Name, DOB or Address etc.

Policy number 1 of the reported complaint

Policy number 2 of the reported complaint

Disclosure - I acknowledge and understand my obligation to provide complaint information as defined in section 994A(1) of the Corporations Act. By submitting this complaint information on part of the above licensee, I certify that the information is true and accurate.

MLC Life insurance

Life Insurance

Licensee Complaints

Complaint 1 information

Complaint 2 information

Complaint 3 information

Complaint 4 information

Complaint 5 information

Disclosure - I acknowledge and understand my obligation to provide complaint information as defined in section 994A(1) of the Corporations Act. By submitting this complaint information on part of the above licensee, I certify that the information is true and accurate.