Complaint Form
Please read notes below before completion of this complaint form:
- The following are outside the scope of the SIMI Consumer Complaints Service
- Complaints which are the subject of instituted Court proceedings..
- Complaints which are the subject of manufacturers’ warranty claims.
- You should contact senior management of the company prior to submitting a formal complaint to SIMI.
- A Copy of this form will be sent to the Member Company for a response.
Complaint Form
Contact Details
Details of Company You Are Making This Complaint Against
Vehicle Details
Make & Model *
Vehicle Registration *
Original Odometer Reading *
Current Odometer Reading *
What does the complaint relate to? PurchaseRepairsServicing
Transaction Date
Type of transaction eg: purchase agreement, repairs or service etc.
New / Used Purchased NewPurchased Used
Repair Details
Servicing Details
Price of Vehicle €
Price of Repair €
Price of Service €
General Complaint Details
Please give a comprehensive to the point summary of events and include dates where appropriate.
Solution
What do you believe to be a fair and reasonable solution?*
Evidence of the transaction YesNo
Have you documents to support complaint? YesNo
Relevant documents are those that provide evidence of the transaction, e.g.: receipts, contracts, quotes, invoices, correspondence, emails, advertisements, copies of web pages and photos. If you have electronic copies of your documents, you can add up to five attachments to your complaint below. Only documents in Word, PDF or JPEG formats will be accepted. Please note file size attachments are restricted to 8mb.
Attach Documentation
If you do not have electronic copies of your documents, you can print a copy of the completed form include copies of your documents and send to: SIMI Consumer Complaints Service, 5 Upper Pembroke St, Dublin 2.
Declaration
I declare that the above information is true and correct to the best of my knowledge. I agree that the information I have given in this form and any attached documents may be used or disclosed by SIMI to the dealer I am making this complaint about and all other parties involved in this complaint.
I agree *
You must fill in all elements marked with an asterisk *
Post
Download and complete the SIMI complaint form and mail it to: SIMI Consumer Complaints Service, 5 Upper Pembroke St, Dublin 2.