Learn how to file a complaint with the California Department of Insurance and why it might be a good idea to first consult a public adjuster. Insurance companies can utilize this letter template to seek reimbursement from the person or entity legally responsible for a loss.The Plaintiff, above named, complaining of Defendants, above named, alleges and says as follows: 1. You must fill out the RFA form to start the complaints process and report the insurance company's bad faith practices. To file a claim against the County please complete the form below, print, sign and send to the address listed on the form. Subrogation is an arrangement between insurance companies to prevent insured parties from receiving double compensation. No information is available for this page.