Missouri Complaint Information Sheet

State:
Missouri
Control #:
MO-SKU-1964
Format:
PDF
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Description

Complaint Information Sheet

The Missouri Complaint Information Sheet is a document used by the Missouri Department of Insurance, Financial Institutions & Professional Registration (DIP) to investigate complaints against insurance companies, financial institutions, and professional entities. The sheet includes information about the complainant and the issue. It is used to collect details, such as the complainant’s name, address, telephone number, name of the entity complained against, and the nature of the complaint. There are three types of Missouri Complaint Information Sheet. The first is the Consumer Complaint Information Sheet, which is used to investigate complaints against insurance companies. The second is the Financial Institution Complaint Information Sheet, which is used to investigate complaints against banks, credit unions, and other financial institutions. Lastly, the Professional Entity Complaint Information Sheet is used to investigate complaints against entities that provide professional services, such as attorneys and doctors.

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FAQ

If you wish to file a complaint against the license of a nurse, you may complete the Complaint Form and send it to our office by mail, fax, or email.

1-800-392-3738 The Children's Division Child Abuse and Neglect Hotline (CA/NHU) is a toll-free telephone answered seven days a week, 24 hours a day, 365 days a year. For hearing and speech impaired, please contact Relay Missouri 1-800-735-2466/voice or 1-800-735-2966/text phone.

Call the Consumer Protection Hotline at 1-800-392-8222 for more information about filing a complaint.

Self-reports may be submitted via e-mail to hospitalcomplaints@health.mo.gov, or by phone to the Complaint Hotline 24 hours a day at 1- (800) 392-0210.

If you do not have an email address, you may call the Consumer Protection Hotline at 1-800-392-8222 to file your complaint by phone. You may also download the Consumer Complaint Form in PDF format to file by mail.

Any member of the public or the professions licensed, or any federal, state or local official, may make and file a complaint with the board.

You may file a complaint by fax 573-526-1500 or electronically at You can either write the PSC or call its toll-free hotline (1-800-392-4211).

More info

Open the OCR Complaint Portal and select the type of complaint you would like to file. Plaintiffs must complete this Complaint Information Sheet and submit it to the Maryland.Complete and File the Complaint Form. Step 1: Download the electronic Complaint of Discrimination in Employment Under Federal Government Contracts form. Completing this form is voluntary; however, the requested information must be provided in order to file a complaint of discrimination. Date: Instructions: Read this entire form and all of the instructions carefully before completing. U.S. Department of Agriculture. USDA Program Discrimination Complaint Form. If you have problems with a company or individual in the finance and insurance industries, complete a complaint form so we can look into the situation. If you want to file a complaint, please complete the form with as much information as you have.

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Missouri Complaint Information Sheet