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Thank you for your application. Your account manager will contact you soon. If you have any concerns please call us on 01325 315666.

Claims Application

Step 1 of 6

Claim Type*

Romance Scam

Crypto Scam

Impersonation Scam

Gold Scam

Investment Scam

Bank Scam

Conveyance Scam

Diesel Claims

Pensions

Mortgages

Undisclosed Commission

Mis-Sold Overdrafts

Mis-Sold Energy

First Name*

Surname*

Mobile

Any relevant information

Value of Investments

Did the bank call you and give you any warnings before transferring?

Yes

Was Money transferred in last 6 years?

Yes

Dates Transferred

Did you transfer from UK Bank?

Yes

Which UK Bank?

Name of investment

Reg Number(s)

VIN number(s) if available

Did you use an IFA?

Yes

Value of Investment

Name of investment

Are you a Limited Company?

Yes

Was the contract by a broker or direct with supplier?

Broker

Direct

Name of supplier or broker?

Please fill in as much information as you can.

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01325 315666

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