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Your Car Details

Make
Model
Fuel Type
Colour

Are these details correct?

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Your Car Details

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Your Ownership

When did you buy the car?

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Your Ownership

When did you buy the car?

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Your Ownership

We can only assist with cars purchased before January 2020. If you had a car on finance before then please enter the reg below:

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Your Finance Details

Which type of car loan did you choose?

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Finance Amount

How much did the car cost?

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Your Details

Are you a UK resident?

Current Address

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Your Address

Was this your address on

What was your address in

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Your Date of Birth

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Your Lender

Please choose your lender / finance provider

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Finance Details

Did you have a 0% interest finance deal?

Finance Details

Has your agreement ended?

Finance Details

Did you miss any payments?

Finance Details

Are you already claiming against
with another company?

Agreement Number

Do you know the finance agreement number for your

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Your Signature

We need your signature to contact on your behalf and process your claim.

I hereby confirm that are instructed to act on my behalf in respect of my complaint about financial products/services which I have received from firms, regulated and authorised by the Financial Conduct Authority and/or their appointed representatives and agents.

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