Online Claims Form

Please fill out the form below to claim back your PPI. If you have a different enquiry, please contact us using our general contact form.

You must tick one or more of the following boxes for you and/or partner if the loan was in joint names:

Personal Circumstances: *

My pre-existing medical conditions were not discussed when I took out the PPI policy

I was or was shortly due to become self-employed when I took out the PPI policy

I was retired or very close to retirement ages when I took out the PPI policy

I was not employed (including student) when I took out the PPI policy

I was a public services employee when I took out the PPI policy

I had other protection policies in place when I took out this loan

I did not need the PPI policy as I could have repaid the loan/outstanding balance using my savings

The Sale of the PPI: *

I was told the PPI policy was compulsory

I was not aware that the PPI policy was optional

I was told I would get a better interest rate if I took the PPI policy out with the loan

I was not made aware of the cost of the premiums on the PPI policy

I was not aware the PPI policy cost would be added to the loan and I would pay interest on the cost

I was not made aware that I had taken out the PPI policy when I took out the loan

I was not made aware that I could purchase alternative PPI policies with other providers when I took out the loan

I was not made aware that the PPI policy did not cover the life of the loan

Your Name: *

Email: *

Telephone: *

Name of company that sold you the PPI policy: *

Policy Number: *

Loan/PPI start date: *

Loan Amount: * £

Monthly PPI Premiums: * £

If repaid loan or cancelled PPI, please give details:

If you have made a claim against the PPI, was it successful?:

Yes

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