Once the Consumer Affairs Division has determined arbitration is needed, a consumer can ask the Connecticut Insurance Department for a Request for Arbitration Form. They will ask you to fill out the form, and mail it to:

Arbitration Unit

Insurance Department

State of Connecticut

P.O. Box 816

Hartford, CT 06142-0816

You must include a check for $20 made out to “Treasurer, State of Connecticut” along with the form and all the evidence you want the arbitrator to see. They will accept copies or original documents. In addition to documents and/or photographs, arbitrators will typically want items like itemized bills or invoices and any cancelled checks or paid receipts. A statement of all the facts to the best of the consumer’s knowledge is also part of the form. The most important thing for this section is to provide dates, information, and evidence surrounding the claim. Additionally, you have the option to select in-person arbitration (where witnesses are allowed), or an evidentiary arbitration where the arbiter will decide based on the strength of the evidence submitted by the parties.