Codes

Lodge a Complaint

Name:
Contact email address:
Email address used in connection with your BNPL account:
Contact number:
Postal address:
Where did you hear about AFIA's BNPL Complaint Handling Service:
If other, please provide detail:
Member company complaint is against :
Contract Reference Number:
AFCA Case File Number:
Date of incident:
Have you raised the complaint with the member through their Internal Dispute Resolution Process:
When did you first complain to the member:
Was this resolved to your satisfaction by the member:
Have you raised the complaint with AFCA's (the Ombudsman) External Dispute Resolution Process? :
Was this resolved to your satisfaction by AFCA?:
Please give an overview of your complaint listing the main points:
Have you contacted any ombudsman or other complaints body about your complaint:
If you have answered Yes to the above question, please give details below :
Please give an overview of your complaint listing the main points:
What outcome are you seeking:
I would like the AFIA's BNPL Code Compliance Committee to provide its’ Complaint Handling Service to deal with my complaint. By completing and returningthis form I agree for AFIA to act on my behalf to conciliate my complaint, I agree to the personal information contained in this form, and in any supportingdocumentation or emails, to be shared with the relevant AFIA member, I agree to the AFIA member releasing my personal information to AFIA for the purposes ofinvestigating my dispute. To help prevent similar complaints in the future, I agree that AFIA may publish examples of where things can go wrong, based on real cases,but without mentioning the identity of anyone involved.: