Submit Your Complaint

Before you submit

This form is not a complaint to a court, regulator, insurer, Colonial Life, Paul Revere, Colonial Voluntary Benefits, or any defendant. It sends your account privately to this website for moderation. Publication is discretionary and is never guaranteed.

Provide only your own experience or clearly identify information drawn from documents you possess. Do not include Social Security numbers, payment-card numbers, policy or account numbers, medical information, employee or policyholder data, information identifying minors, private addresses, threats, slurs, privileged material, confidential discovery, settlement communications, or anything covered by a sealing, protective, arbitration, or confidentiality order.

I am at least 18 years old and am submitting this account on my own behalf. This submission describes my firsthand experience, except where I clearly identify information drawn from documents or another source. To the best of my knowledge, the submission is truthful, accurate, and complete in all material respects, and I am not knowingly submitting false information. I removed confidential, privileged, sealed, protected, medical, financial-account, policyholder, employee, minor, and unnecessary personal information, and my submission contains no threat, harassment, doxxing, or slur. I authorize the site to store and review my submission, contact me, edit or redact it for clarity, privacy, length, or legal review without intentionally changing its substance, and publish the approved public fields if selected. I understand that I remain responsible for what I submit, that publication is not guaranteed, and that this form does not create an attorney-client relationship or make an official legal or regulatory filing.

Before you submit