Letter to Financial Ombudsman Service: Lodging a dispute
Important: This letter can be used as a guide. You must insert your own details where appropriate and delete any information that is not relevant to your situation. Always date your letters. Always keep a copy of the letter you send. Get legal advice if you do not understand.
Warning: This letter is information only and should not be relied upon as legal advice.
[Write date here]
Financial Ombudsman Service
General Insurance
GPO Box 3
MELBOURNE VIC 3001
Dear Sir/Madam,
Re: My insurance claim with [insurer]
Policy number:
I have a claim dispute with [INSURANCE COMPANY] relating to my motor vehicle.
I request that the Financial Ombudsman Service (“FOS”) consider this dispute on the basis that it is an unresolved dispute between me and the [INSURANCE COMPANY]
1. I made a claim on [DATE].
2. I have been waiting on a decision from [INSURANCE COMPANY] for over [must be over 45 days] and despite calls I have not received a response. OR
3. I have given all information as requested by the [INSURANCE COMPANY] and it has been [MUST BE OVER 45 DAYS] since I provided the requested information and I still don’t have a decision from the [INSURANCE COMPANY]. OR
4. [INSURANCE COMPANY] rejected my claim on [DATE] and referred to me to its internal dispute resolution department. It has been over [MUST BE OVER 45 DAYS] and I still don’t have a final decision.
[INSURANCE COMPANY] has not acted in accordance with its dispute resolution obligations under the Code of Practice and ASIC Guideline 165.
As the dispute remains unresolved, I request that FOS investigate the dispute. I look forward to receiving a Notice of Referral to be completed by me.
Yours faithfully,
____________________
[Full name]
[Insert your contact details]






