Application for assistance

Click here to complete our Online Assistance Request Form. Once you've completed the online submission you will receive your case reference number and all other case details.

Online Assistance Request Form

Please note: To prevent duplications, it is requested that once you have submitted your application that no further submission by Fax, Email or online be made, unless it's regarding a different dispute.


Or Download, Print and Complete the complaint form and send it via Fax (086 630 6141) or Email (, remembering to complete ALL fields, including the complainants signature on every page.

Download (PDF document)




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