Complaint Escalation Form

We are sorry your complaint hasn't been satisfactorily resolved.

Please note that in order to submit an escalation, you must have logged a complaint and are unhappy with the feedback received.

Your Name

Please enter your First and Last Name

Your Email Address

How can we reach you? e.g. email@exampledomain.com

Your Phone Number*

Provide us with your mobile number e.g. 080 505 050 50

Your Keystone Bank Account Number (optional)

Please enter your 10-Digit NUBAN*

Touch Point Visited

Where (or how) did you make your complaint?

Select Branch

May we know which branch?

Request ID here

You were provided with a Request ID when you earlier made the complaint e.g. xxxxx

What type of enquiry are you making?

Please select the category of your complaint

What are you unhappy about?

What are you unhappy about? Please provide a detailed reason for this escalation.

Do you have documents you want to upload? (optional)

(Optional) You can attach up to four (4) documents (or screenshots) - The document should not exceed 5MB (5,000KB)

Choose file

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