If you are unable to file your complaint using the online complaint portal, please use one of the complaint forms below to either mail, email, or fax your complaint to DIFS.
- Insurance Complaint Form
- Health Insurance Complaint Form
- Financial Institution or Consumer Lender Complaint Form
(For complaints about a mortgage, credit card, debt management, money transfer, payday lending, or personal loan.) - Bank Complaint Form
- Credit Union Complaint Form
- Designation of Authorized Representative (FIS 2365)
- Health Care Appeals – Request for External Review (FIS 0018)
- Treating Provider Certification for Experimental/Investigational Denials (FIS 2326)
- Business-to-Business Complaint Guide (FIS 0045)
- Pharmacy Benefit Manager (PBM) Complaint Form (FIS 2394)