Consent and Disclosure

In the course of addressing your complaint, personal information provided on the Complaint Form is being collected by the Registered Insurance of Brokers of Ontario (RIBO). Our mandate, as the Ontario regulator of Property & Casualty Insurance, is to protect the public interest and regulate the Profession. Your personal information is necessary to review and/or investigate the matters in your complaint. RIBO may need to disclose your information to third parties as part of its review or investigation.

By clicking “Yes”, you consent to RIBO disclosing the information contained on this form, and any additional information that you supply about your complaint, to the following parties:

1. The individual(s) and or entity(ies) named in your complaint;

2. Any government ministry, agency, board or commission;

3. Any self-regulatory agency or association; and

4. Any Canadian law enforcement agency.

If you have any questions about RIBO’s collection and disclosure of your personal information, please contact:

Registered Insurance Brokers of Ontario (RIBO)

401 Bay Street, Suite 1200, P.O. Box 45,

Toronto, ON M4H 2Y4

Telephone: (365) 365-1900

Toll Free: 1-800-265-3097

Fax: (416) 365-7664 Email: complaints@ribo.com