Please fill in the form below to allow us to see if you qualify. Once we have checked all your details a member of our team will contact you to advise how to take things further.
Our initial review will provide you with a clear, straightforward appraisal of your agreements, and explain the likelihood of a successful claim. we can then advise on your next move.
* (denotes mandatory field)
Ref no (If no Ref enter CCDR as default) *
1. Name *
2. TELEPHONE NO. *
3.1 EMAIL ADDRESS. *
3.2 ADDRESS *
Do you have any of the following?
Yes
No
Don't Know
4. MORTGAGE*
If yes, does it have Accident, Sickness, Unemployment Insurance?*
5. PERSONAL LOAN (car / home improvement)*
If yes, does it have Payment Protection Insurance?*
6. CREDIT CARD*
Number of credit cards:*
If yes, do they have Payment Protection Insurance?*
7. STORE CARDS*
Number of store cards:*
If yes, do they have Payment Protection Insurance?*
8. HOME OR MOTOR INSURANCE*
Is it paid by instalments?*
If yes, does it have Payment Protection Insurance?*
9. Have you been in arrears, missed payments on any of the above*
mortgages, loans or cards?*
10. Do you have difficulty making the monthly payments on your loans / card?*
If yes, go to 11
If no, go to 12
11. Are your monthly outgoings more than your monthly income?*
12. Are you employed?*
13. With regard to your credit and store cards, were they taken out before April 2007?*
This is an initial Credit Review. From the information you have given us we may be able to either obtain a refund on payments you have made or reduce your monthly outgoings. Would you like one of our advisors to call you to arrange an appointment?*
If no, would you like us to send you more information?*
