Online Submission

Case Submission

All applications must be accompanied by relevant documents such as receipts, agreements, credit card slips, letters, etc.

Please complete the form below on details of your complaint and submit to us. After the officer assessed your case, if you need us to handle it, you will need to join us as a member, as we are an Association.

Membership Fees

No. Type of Membership Amount (GST inclusive)
1. Life $428
2. Family $32.10 per annum
3. Ordinary/Single $26.75 per annum

If a case is taken up by a CASE Officer an administration fee is charged according to the claims.
Please let our officers know if you are:
- You are a member of a Trade Union or Association that happens to be a CASE Institutional Member;
- You have an individual life insurance policy from NTUC Income;

With effect from 1 January 2015, for the above, your admin and membership fee will be waived subject to you producing the necessary documentation proof.

Note: NTUC Link Card does not qualify you for a waiver.

If you are a staff of CASE Corresponding members, you will enjoy waiver of membership fee and only has to pay the necessary administration charges.

Administration Charges

No. Range of Claims Admin Fees (GST inclusive)
1. Below $5,000 $10.70
2. $5,000 to $10,000 $21.40
3. $10,001 to $20,000 $53.50
4. Above $20,000
[Every $10,000 or part thereof ]
$53.50

Compulsory Fields are in Bold

Personal Particulars
Family Name
Given Name
NRIC No
Date of Birth
Occupation
Education Level
CASE Member
 Yes  No
CASE Membership No
Date Joined
Membership Type
Race
Gender

Contact Information
Block / House number

Street Name

Building / Estate Name

Unit number

Postal Code
S
E-mail Address (Not compulsory for walk-in consumers)
Please provide at least ONE telephone number
Phone (Home)
Phone (Office)
Phone (Mobile)
Fax

Vendor Address
Vendor Name
Vendor Block / House number

Vendor Street Name

Vendor Building / Estate Name

Unit number

Vendor Postal Code
S
 
Vendor Phone

Vendor Fax

 
Vendor Email

Vendor Website

 

Declaration
Are you a member of any Union/Association/Co-operative?
Please fill in NIL if not applicable
Union
Co-operative

 
Association
 Yes  No
Political Party
 Yes  No
 
Others

Complaint Information
CaseTrust Accredited?
 Yes  No   [View List]
Nature of Complaint
Industry Type
Transaction Type
Transaction Date
Desired Outcome
Total Contract Value (nearest S$)
S$.00
Quantum Claimed (nearest S$)
S$.00
Online Transaction
 Yes  No
Complaint Summary (no more than 100 words)
(Not necessary for walk-in consumers)
Attach Supporting Documents (Maximum 5MB)
(Not necessary for walk-in consumers)


I agree that by submitting my complaint, I consent to the use of my personal data in accordance with CASE’s Personal Data Policy as may be amended from time to time.

Please wait for acknowledgement that your submission is successful.