Client Complaint Reporting Form

"*" indicates required fields

Instructions to Client

A. You are kindly requested to duly complete the information requested below, providing all relevant and applicable information, duly execute the form and/or stamp the form as applicable.
B. The Form must be sent to the Company either via email at info@utocapitalllc.com which solely belongs to the Company’s CSU Department.

Complaint Date*

Full Name & Patronymic (if and where applicable)**

ID/Internal or International Passport Number*

Country of Residence of the Complainant:*

Email*

Phone*

Does your complaint involve a financial loss?

Yes

If your answer in point 8 above is “Yes” kindly provide the estimated amount of loss in the ‘Disputed Amount’section below*

Specify the Department and/or Employee involved (if applicable/possible):*

Kindly provide details in relation to your Complaint:

Complaint Cause*

Other

The ‘other’ option should only be used after ensuring that the Complaint Cause does not fall under any of the above categories. If this option is used, then a short and detailed description is expected in the ‘Complaint Cause Comments’ below.

Complaint Cause Comments*

Should only be used if ‘other’ category was selected as a complaint cause

Financial Instruments –Please choose one of the following categories:*

Financial contracts for differences (CFDs)– FX;

Financial contracts for differences (CFDs) – Cash Indices;

Financial contracts for differences (CFDs) – Commodities;

Other

The ‘other’ option should only be used after ensuring that the Financial Instrument does not fall under any of the above categories. If this option is used then a short and detailed description is expected in the ‘Financial Instruments Comments’.

Financial Instruments Comments

Should only be used if ‘other’ category was selected in previous column

Disputed Amount*

Full Name/Capacity*

Signature*

Important Notes:

- Upon receipt of this form, a written Acknowledgment e-mail will be sent to you within the next five (5) working/business days.
- This Acknowledgement e-mail will further notify you also of your Unique Reference Number (URN) which must be used in all future contact with the Company.
-The Company will investigate your complaint and will aim towards a final resolution of any
issue/complaint/grievance and reply within a maximum of two months (2 months) period from the initial complain receipt in relation to the possible reasons that caused the issue at hand and the outcome/decision.
- During this period of time of the investigation of the complaint, the Company will inform/update you of the handling process in regular intervals.
- In the event that the Company is unable to respond within two months, you will be notified of the reasons for the delay and further indication will be provided on the period of time within which it is possible to complete the investigation. This period of time cannot exceed the three months (3 months) from the submission of your initial complaint.
- Further information can be found within our Complaints Policy published within our official website at www.utocapitalllc.com

UTO Capital Inc., is a Company incorporated under the Laws of Saint Lucia and the Companies Act Cap 13.01, under registration number 2023/C080.

UTO Capital