AODA Customer Feedback Form

The Ontario Mutual Insurance Association is constantly striving to improve accessibility for customers with disabilities. We would like to hear comments, questions and suggestions about the provision of goods or services to people with disabilities. Please fill out the form below or contact Human Resources in person, by phone, by letter mail or by e-mail at: Ontario Mutual Insurance Association, 350 Pinebush Road, Cambridge, Ontario, N1T 1Z6 | Tel: (519) 622-9220 | Email: [email protected].

Date of Visit

Time of Visit

Did we respond to your customer service needs today?

Yes

Somewhat

No

Was our customer service provided to you in an accessible manner?

Yes

Somewhat

No

If No, please explain:

Did you have any problems accessing our goods and services?

Yes

Somewhat

No

If Yes, please explain:

Please add any other comments you may have:

Your Contact Information (optional, if you want to hear back from us):

Name

Phone

Email

Thank you,
OMIA Management

Thank you for your message. It has been sent.

There was an error trying to send your message. Please try again later.