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reference

Mr S Cordell's complaint about KGM Underwriting Agencies Limited (Our ref: 16352175)->Cordell CF.rtf
Mr S Cordell's complaint about KGM Underwriting Agencies Limited (Our ref: 16352175)->Cordell CF.rtf
© Financial Ombudsman Service Ltd, June 2014

our ref 1635-2175/AA/CD12

complaint form

Please use this form to tell us about your complaint – so we can see if we’re able to help you.

If you’re not sure about anything – or have difficulties filling in this form – just phone us on 0300 123 9 123.

Please let us know if you have any practical needs You can download this form off our website
where we could help – for example with (www.financial-ombudsman.org.uk) to complete
by hand. Or you can fill it in on screen – then print
information in another format (eg large print, Braille it off and post it back to us.
etc) or in a different language.

first, please give us your details … and the details of anyone complaining with you
first name(s) Simon
surname Cordell title Mr title
occupation (if retired,
previous occupation)
date of birth 26/01/1981
109 Burncroft Avenue
address for
writing to you Enfield
(include postcode) Middlesex
EN3 7JQ

daytime phone mobile
home phone email

if someone is complaining on your behalf (eg a solicitor or relative) please give us their details
their name Ms Lorraine Cordell relationship to you Relative
23 Byron Terrace
address for Hertford Road
writing to them
(include postcode) London
N9 7DG

their daytime phone 07961833021 fax
their email lorraine32@blueyonda.co.uk ref

if you’re complaining on behalf of a business, charity or trust please fill in these details
number of
its full official name
employees*

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