Property/Casualty Complaint Form

Important information about filing a complaint

This form is for filing a property and casualty insurance complaint with the Maine Bureau of Insurance.  If you have a complaint related to health, life, disability, or viatical insurance, go here.  The form authorizes the Bureau to investigate the matter on your behalf and provides us the basic information we need to investigate your complaint. The form may be submitted either electronically or by mail. Once received by the Bureau your file will be confidential as provided by Maine law.

PHOTOCOPIES of any correspondence, insurance policies, or other documentation related to your insurance problem (property loss forms, vehicle appraisals, police reports, all correspondence concerning your complaint and a copy of your policy, etc.) may be necessary in order for the Division to act upon your complaint.
Your complaint will be assigned to a Claims Investigator who will contact you by mail for more information at the beginning of the investigation and will advise you of our conclusions once the investigation has been completed. This usually takes a minimum of thirty days.

We will make every effort to assist you and to see that insurance companies comply with Maine insurance laws; however, we cannot:
• Force the company to satisfy you if no laws have been broken.
• Act as your lawyer or give you legal advice.
• Make liability decisions.

If you have questions or have additional documentation to provide before you hear from a Claims Investigator, please send an e-mail to PFR, Insurance or send a fax to (207)-624-8599.

If you experience problems submitting the online forms, send an e-mail to PFR, Research.

All fields with * after them are required fields. You cannot submit your report until all required fields are completed.

PLEASE CHECK ALL THAT APPLY
Your Information
name
Prefix
Address
Insurance Information
Insurance Complaint Address
Consumer Authorization

I hereby authorize that any person or company regulated by the Maine Bureau of Insurance may provide the Bureau with any information or records needed by the Bureau to investigate my complaint. This authorization remains in effect until I revoke it in writing.

I acknowledge that, by filling out and submitting this form, I am the policyholder or enrollee named in this complaint, or that person’s legal representative, and that my signature and e-mail address are in the boxes below.

Details of Complaint