MIOSA Assistance Request Form

ASSISTANCE REQUEST FORM

The Motor Industry Ombudsman of South Africa (MIOSA) assists consumers in resolving complaints by investigating and making a recommendation based on the facts and applicable law. It is therefore of utmost importance that the assistance request form is completed in full. Failure to do so will result in unnecessary delays. For assistance in this regard, please contact MIOSA information and liaison office at 010 590 8378.

How did you become aware of MIOSA?

If not one of the above, please elaborate

1. Details of the Complainant

If Complainant is an Individual:

Title

Surname

First names

ID number

If authorized to act on the complainant's behalf in terms of Section 4 of the Consumer Protection Act No. 68 of 2008 (CPA).
Please attach a certified copy of your original mandate or Power of Attorney (POA), as well as the reason for obtaining your mandate or POA

Click here to download the Power of Attorney template

Title

Surname

First names

ID number

If the complainant is a legal entity, ie, a registered company or a close corporation etc, this assistance request form must be accompanied by a letter from the auditor or accounting officer stipulating that the legal entity's annual turnover or asset base does not exceed the amount of R2 million per annum.

In the event that a dispute arises between Industry Participants within the Automotive Industry, a dispute must be dealt with by MIOSA, subject to Section 82 of the CPA.