1. Affiliated Company

Name or company name

Commercial register identification number, if available

Legal form

Address

Authorisation category in Switzerland
---Portfolio manager (Art. 17 para 1 FinIA)Trustee (Art. 17 para 2 FinIA)Manager of collective assets (Art. 24 FinIA)Securities firm (Art. 41 FinIA)Branch (Art. 52 FinIA)Representation (art. 58 FinIA)Trade essayer (Art. 42bis PMCA)Bank (Art. 1a Banking Act)FINTECH (Art. 1b Banking Act)Client Adviser (FinSA)Insurance intermediary (LSA/VAG)Client Adviser (FinSA) & Insurance intermediary (LSA/VAG)Other/Not applicable, please specify in Message box below

Size of the company (employees)
---1-56-1011-5051-100101-500>500

Responsible for the relationship with FINSOM

2. Affiliation

FINSOM is a specialised Ombudsman Office for conflict management and dispute resolution in commercial and work relations in the Swiss financial sector. Please indicate the type(s) and language(s) of mediation desired according to the company's needs.

Commercial Mediation/FinSA

Would you like to affiliate to Commercial Mediation/FinSA?

---Yes, under Art. 77 FinSA (mandatory affiliation)Yes, but exempt from Art. 77 FinSA (voluntary affiliation)No

Language/s
FRDEITEN

Would you like to affiliate to Workplace Mediation/LL?

---Yes, under art. 6 LL/art. 328 CO (mandatory affiliation)Yes, but exempt from art. 6 LL/art. 328 CO (voluntary affiliation)No

Language/s
FRDEITEN

Invoicing

The invoices will be sent by email to the corporate function or department responsible for the relationship with FINSOM (see Title 1). To send invoices to other recipients as well, it is possible to add two email addresses :

Group invoice

If the company belongs to a group affiliated to FINSOM, if applicable, please indicate the name of the organisation that collects the annual base tax for the group and remits it to FINSOM under art. 99 FinSO.

Group invoice for the annual base tax

---Yes

Immediate or in advance

It is possible to affiliate as of the current calendar year (immediately) or the following year (in advance).

---The company is registering for affiliation as of this year (immediate)The company is registering for affiliation as of next year (early registration)

3. Declaration

The company accepts FINSOM's regulations and affiliates to FINSOM.

The company accepts that FINSOM communicates its affiliation according to Art. 83 FinSA.

4. Message

5. Confirmation of affiliation

After submission of this online form, a confirmation of affiliation with a copy of the submitted form will be sent automatically to the email address of the corporate function or department responsible for the relationship with FINSOM (see Title 1). If applicable, a confirmation will also be sent to the email address of the additional recipient for billing or the organisation designated to collect the annual base tax in case of group discounts (see Title 2). The confirmation of affiliation can be sent to one additional email address :

Please check the email addresses entered in this form one last time before sending it.