50 Ill. Adm. Code 926.EXHIBIT A
A Complaint Record
Section 926
Section 926.EXHIBIT A Complaint Record
COMPLAINT RECORD
Column A
Column B
Column C
Column D
Column E
Column F
Column G
Column H
Identification Number
Reason Code
Coverage Code
Disposition after Complaint
Receipt
Date Received
Date Closed
Insurance Department
Complaint
State of Origin