File a Complaint

Before the certified commission can review and address your dispute, you must first submit a complaint to the service provider (broker). Typically, this process takes up to 14 days for them to respond and provide clarification.

Action to date

Yes, I have previously lodged or registered this dispute with the CCA Regulatory

No, this is the first time I have lodged or registered this dispute with the CCA Regulatory

Applicant details

Title

First Name

Country of residence

Last Name

Phone Number

Dispute details

Name of the financial services provider you have a dispute with

Please provide a reference number so that your financial services provider can locate the correct information

Please include as much information as you can, including the type of product involved, the dates the problem occurred, the name, address and telephone number (if you know these) of all individuals and firms involved and a description of the problem (please attach a separate page if you need more space than provided)

Additional comments

What do you think is a fair and reasonable resolution to the dispute?

If you are seeking payment of a sum of money please provide any relevant calculations of your claim(s)

To file a dispute properly, please attach the copies of the following documents for the commission to understand your case in detail and have an opportunity to fulfill your issue.

Information you DON’T have to submit:

Any personal identifiers (ID, driver’s license, passports, etc);
Financial documents including bank account statements and credit card information;
Personal account information: login, password, email address.