Complaint form

PLEASE BE NOTIFIED that the Financial System Mediator may accept your claim for examination if the complaint form and the power of attorney, if such exists, is completed properly and signed by a capable person and meets the requirements laid down in the Republic of Armenia Law on Financial System Mediator and other relevant laws of the Republic of Armenia.

At the same time, please, be informed that the complaint form represents a formal application form which will be examined by the Mediator according to the Law on Financial System Mediator when submitted.

If you still do not have all necessary information and documents required for the submission of complaint form you can contact us to get answers to your questions.

You can complete the complaint form in English, but, please, be informed that in that case the Mediator will be authorized to examine your claim only upon submission of the translated application in Armenian.

APPLICANT
   
 
Contact details
AUTHORIZED PERSON
Is there an AUTHORIZED PERSON?
Yes
No
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Contact details
FINANCIAL INSTITUTION
  
SIZE OF PROPERTY CLAIM
AMD
Other Currency
DESCRIBTION OF THE CLAIM
 
You can submit the description of your claim as a separate document attached to this application.
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WHAT DOES THE APPLICANT WANT?
 
DECLARATION
Is there a copy of your application to the Organization?
Yes
No
Is there a copy of the Organization’s response in writing to your application?
Yes
No
Is there court or arbitration tribunal ruling on the subject of the same claim between you and the Organization?
Yes
No
Is the subject of the same claim under the court or arbitration tribunal proceedings?
Yes
No
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