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Our Online Complaint Form Full Name *Phone *Email *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryHave you used our services before? (This is so we can link our records) *YesNoIs someone else complaining with you, for example a joint policy/account holder? *YesNo The business you're complaining about Their Name *Their AddressTell us about the product or service you would like to complain aboutBinary OptionsCFD'sCrypto CurrenciesForexLove ScamInvestmentOther*You can choose more than one What happened so far? Have you already complained to the business? *YesNoHas the business you're complaining about sent you its final written answer? (please remember to attach this at the end of this form if 'yes') *YesNoHas there been any court action related to your complaint (or is any planned)? *YesNoWhen did the advice, claim, service or transaction you've complained about take place?DateTime Your complaint Amount Lost *Currency *USDUSDEURGBPAUDNZDBTCTell us about your complaint - what happened?How have you been affected - financially or otherwise? Punitive Damages Punitive damages are usually awarded at the discretion of the court when the defendant’s behavior is found to be particularly harmful. How did the trading experience affect you Emotionally? *Emotional distressFights and arguments with your spouse/familyLow self esteemAll the aboveDid you see a doctor and / or consume any medications due to the emotional stress online trading put you through?Supporting Documents. (up to 3 docs) Click or drag files to this area to upload. You can upload up to 3 files. You can upload up to three documents that support your complaint. Please submit all the relevant evidence if there is any problem please send it to [email protected] Declaration Finally, please read this declaration I would like the Westman Law-Office to look into my complaint. To the best of my knowledge, everything I have told you is correct. - I understand that to help resolve my complaint, you will need to use and keep personal information about me - for example, how to contact me and details about my complaint and sometimes sensitive personal information. - I understand that this might include collecting information about me from the business I've complained about and possibly sharing information with other parties - for example, other businesses that may have been involved in my complaint. br> By submitting the form, you agree to the declaration above. CommentSubmit
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