FPG Insurance

INQUIRY FORM

CONCERN *

POLICY NUMBER

NAME *

E-MAIL ADDRESS *

MOBILE NUMBER *

MESSAGE *

I consent to the collection and the further processing of my Personal Information by FPG Insurance Co., Inc. in accordance with their Privacy Policy.

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CUSTOMER SATISFACTION SURVEY

Good day! Here at FPG Insurance, we value your opinion greatly. Help us improve our customer service by answering this survey. All responses will be kept confidential and will only be used as research data.

Your Name *

Which FPG Office did you visit? *

On a scale of 1 to 5 (5 being the highest), how will you rate the service that we have provided? *

Very Unsatisfied

Very Satisfied

On a scale of 1 to 10 (10 being most likely), how likely is it that you would recommend FPG Insurance to a friend or colleague? *

Least Likely

Most Likely

Do you have any comments or suggestions on how we can improve our customer service? *

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COMPLAINT FORM

FIRST NAME *

LAST NAME *

MOBILE NUMBER *

TELEPHONE NUMBER

E-MAIL ADDRESS *

POLICY NUMBER

COMPLAINT DETAILS

DETAILS OF THE COMPLAINT *

Please provide all necessary information including the name of the personnel who previously assisted you with your concern, if any

RESOLUTION OR ACTION REQUESTED *

SUPPORTING DOCUMENTS

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SAM

Our Customer Care, Claims Service Desk, and Claims Hotline are available Mondays to Fridays from 8:00 AM to 5:00 PM.