CUSTOMER COMPLAINT FORM
Your Information
RMD Number
CINSF Member Number
Title
Mr
Mrs
Ms
Dr
Other
Name
First Name
Last Name
Date of Birth (DD/MM/YY)
-
Month
-
Day
Year
Date
Gender
Male
Female
Address Details
Phone Numbers
Format: (000) 000-0000.
Email Address
example@example.com
Nature of complaint
Results of investigation
Email: enquiry@superfund.gov.ck Phone: +682 25515 PO Box 3076, Avarua Rarotonga, Cook Islands
WWW.CINSF.COM
Back
Next
CUSTOMER COMPLAINT FORM
Action taken
Office Use Only
Officer who received complaint:
Date:
-
Month
-
Day
Year
Date
Initials of person investigating Complaint:
Date:
-
Month
-
Day
Year
Date
Date complainant contacted with the results of the investigation and action taken
Manager to verify & Sign off
Email: enquiry@superfund.gov.ck Phone: +682 25515 PO Box 3076, Avarua Rarotonga, Cook Islands WWW.CINSF.COM
Preview PDF
Submit
Should be Empty: