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Free Case Assessment - DisputeSmart

Tell us about your situation and we'll review it for free. No obligation to proceed. We'll be in touch within 1–2 business days.

Section 1 - About You

First name

Last name

Email address

Phone number

State

State

Section 2 - Your Insurance Dispute

What type of Insurance is this about?

What type of Insurance is this about?

Who is your Insurer?

What is the dispute about? Select all that apply

What is the dispute about? Select all that apply

What Happened? Briefly describe your claim/situation

What did the insurer decide? (e.g claim declined, partial payment)

Have you already complained to your insurer directly?

Have you already complained to your insurer directly?

If yes, have you received their final decision letter (also called an IDR response)

If yes, have you received their final decision letter (also called an IDR response)

Approximately what amount is in dispute?

Approximately what amount is in dispute?

Section 3 - Current Complaint Status

If you've already received a written response to your internal complaint from your insurer, when did you receive it?

If you've already received a written response to your internal complaint from your insurer, when did you receive it?

Have you already lodged a complaint with AFCA?

Have you already lodged a complaint with AFCA?

Has the Insurer raised any of the following? Select all that apply.

Has the Insurer raised any of the following? Select all that apply.

Are there any of the following complicating factors? Select all that apply.

Are there any of the following complicating factors? Select all that apply.

Do you have documents related to the dispute? Select all that applty

Do you have documents related to the dispute? Select all that applty

How involved do you want to be in the process?

How involved do you want to be in the process?

Do you have any vulnerabilities? if yes please explain.

How did you find DisputeSmart?

How did you find DisputeSmart?

Is there anything you'd like us to know before we review your situation?

I confirm that the information I've provided is accurate to the best of my knowledge, and I understand that DisputeSmart is not a law firm or a financial firm and does not provide legal or financial advice.

I confirm that the information I've provided is accurate to the best of my knowledge, and I understand that DisputeSmart is not a law firm or a financial firm and does not provide legal or financial advice.