Reporting unauthorised cold calling in the area of supplementary health insurance

Use this form to report an unsolicited telephone call about supplementary health insurance where no permitted customer relationship or personal recommendation exists.

Form for reporting cold calling in supplementary health insurance

All fields marked with * must be completed. This demonstration form only confirms receipt; it does not store or send the report.

I confirm that I have no business relationship with the insurance company or intermediary, have not been a client in the last three years, and was not contacted on the basis of a recommendation from a third party known to me.

Your details

Last nameFirst nameStreet / no.PostcodeCityEmail addressTelephone number *My telephone provider

Caller details

Telephone number of the incoming callDate of the callTime of the callName of the callerName of the insurance broker companyAddressPostcodeCityName of insurance companyWhat was the call about?CommentsAttachments