EthicsPoint

ETHICSPOINT IS NOT A 911 OR EMERGENCY SERVICE.
Do not use this site to report events presenting an immediate threat to life or property. Reports submitted through this service may not receive an immediate response. If you require emergency assistance, please contact your local authorities.

* Yes - I agree to the Terms and Conditions of making this report.

Please provide information as follows:
( * Required fields )

Organization/Tier:	Pan-American Life Insurance Group
Location:	Physical address, branch and/or store number
City:	State/Province:
Zip/Postal Code:
Country:

* Do you wish to remain ANONYMOUS for this report?

Yes No

If you want Pan-American Life Insurance Group to know your identity, please complete the following:

Your Name:


First Name	Last Name

Your Phone Number:

Your Email Address:

Best time for communication with you:

* What is your relationship to Pan-American Life Insurance Group?

Report - Legacy Case Follow-Up

* Original Report Number / Confirmation Number

* Follow-Up Response

Enter the following into the 'follow-up response' area.
--Date of original report
--Follow-up questions or comments

When you submit the report, you will be issued a Report Key. We ask you to use this Report Key along with the password of your choosing to return to EthicsPoint through the website or telephone hotline in 5-6 business days. By returning in 5-6 business days, you will have the opportunity to review any Follow-up Questions or submit more information about this incident. Please write down your Report Key and password and keep them in a safe place, as this information cannot be retrieved.

Please choose a password for this report:
* Password:
* Re-enter Password:
Your passwords must match and be at least four characters long.