Turks and Caicos Islands Financial Services Commission | Complaints against Licensees/Supervisees

Complainant's Details

Name^*

Email^*

Telephone^*

Address^*

Authorised Person's¹ Details (if applicable)

Name^*

Email^*

Telephone^*

Connection to Complainant^*

¹ An authorized person is:

A person authorized by an individual to file the complaint on the Complainant’s behalf or
An officer of the Company where the complainant is a Company

Details of Complaint

Details of Complaint^*

Provide a full and detailed description of the transaction/event that is the subject of the complaint; identifying key persons involved and providing supporting documents

Attachments

Please list attachments that accompany or support this Complaint

Has the complaint been discussed with the licensee/supervisee to clarify or resolve the issues subject to this complaint?^*

Yes

No

Suggestions for Resolution

Please outline any suggestions that you may have for resolving the complaint

CONFIRMATION AND DECLARATION

Please select all that apply^*

I confirm that I am the complaint named herein

I confirm that I am authorised by the complainant to make this complaint on his/her/its behalf

I declare that all the information provided herein are true and accurate to the best of my knowledge

Please be reminded that by submitting a complaint, you are consenting to the Commission sharing and/or discussing the contents of this complaint with relevant parties, including the person that is the subject of the complaint, in furtherance of investigating/resolving the complaint

Claimant’s/Authorised Person’s Signature^*

Date^*

Complaints against Licensees/Supervisees