Please Send Your Completed Application Form To: No Win No Fee Claim UK Po Box 3575 Windsor Sl4 5yq

Payment Protection Insurance
HOW TO START YOUR CLAIM
Please send your completed application form to:

No Win No Fee Claim UK
Po Box 3575
Windsor
SL4 5YQ
What you need to do to begin your claim
Enclosed is our PPI Claim Pack, with all that you need to start your claim. If you have more than one claim
you will need a new claim pack for each claim.
The following is a list of the documents that are included in the pack and information on how to complete
Letter of Authority Please read, complete and sign both sides of this document where indicated.
This is a letter that confirms that you want us to work on your behalf with our
term and conditions of service.
Questionnaire Please read complete and sign both sides of this document where indicated.
This document help us asses your claim for compensation. The information
you provide will help us build your claim in to a successful claim for
compensation
Pre Paid envelope Use this to return your completed claim document to us.
All you need to do is complete the forms and return them to us. We will do the rest.
If you require and help of assistance in completing you claim or require additional Claim Packs please call our PPI
Claims team on 0845 869 344.
Our service is on a no win no fee basis, so you will only pay if we are successful in obtaining compensation for your
claim. If we do not get a refund you will not owe us a penny.
No Win No Fee Claim UK - Charge Claims Ltd - Po Box 3575 – Windsor – SL4 5YQ
Telephone +44 845 869 8344 Facsimile +44 208 099 6284 - Email info@ppiclaim.net - Web www.ppiclaim.net
Charge Claims Ltd is regulated by the Ministry of Justice in respect of regulated claims management activities
LETTER OF AUTHORITY
Insurance Company policy is held with:__________________________________________________
Payment Protection Policy Number:
Name (1): _____________________________ Name (2): ____________________________
Address_______________________________ Address______________________________
______________________________________ ____________________________________
____________________ Postcode_________ ___________________ Postcode_________
To Whom it may Concern
I/We hereby authorise Charge Claims Ltd to act on my/our behalf in pursuance of my/our claim in respect of advice received and/or
sales made by the company relating to the policy, to take all such steps that they consider necessary or expedient and to sign on
my/our behalf in acceptance of any financial settlement of this matter. I/We further give Charge Claims Ltd full authority to refer the
claim to the Financial Ombudsman Service
Please accept this letter as my/our instruction to you the company to deal directly with Charge Claims ltd concerning this matter,
sending all relevant correspondence directly to them and providing all information they request.
I/We understand that I/we could pursue the Claim against the Company myself/ourselves without the service if Charge Claims ltd,
however have decided to engage Charge Claim Ltd, whose fees will be recoverable from any compensation awarded.
I/We instruct you to pay any compensatory deposit to Charge Claim ltd, who will hold the money on my/our behalf. The
compensation is to be paid to: Charge Claim client account.
I/We authorise in accordance with the Data Protection Act 1998 to release to Charge Claims Ltd, any information as may be
requested from time to time by Charge Claims Ltd., whether by telephone or in writing (including by fax or e-mail), without delay.
I/We confirm that the information given in this letter is to the best of my/our knowledge accurate and a truthful reflection of our/my
recollections of events at the point of sale. I/We consent that a copy of this Letter of Authority has the validity of the original
Declaration
I/We confirm acceptance of this agreement and Charge Claims terms and conditions. I give them full authority to
pursue/claim on my behalf
Signature (1):_________________________ Signature (2):_________________________
Print name: _________________________ Print name: __________________________
Date: ______________________________ Date: _______________________________
Terms & Conditions
1. Definitions 4. The company will:
1.1 “Institution” means the Financial Institution who sold the policy or 4.1 Use all reasonable endeavors to obtain the maximum award of
gave the advice. Compensation for the all client claims
1.2 “Client” means the named policyholder/accountholder(s) as detailed 4.2 Not accept liability for unsuccessful Claims or the Compensation
in the letter of authority, whom have instructed the company. paid to the Client;
1.3 “Claim(s)” means the client’s claim or claims against the institution in 4.3 Immediately advise the Client if the Claim will no be pursued. It
relation to the miss sold PPI policy is at the companies discretion at any time to decide whether or
1.4 “Compensation” means any compensatory deposit paid or awarded not to proceed with the Claim
following the instruction of the company services by the client. 4.4 Make payment to the client as soon as reasonably practicable,
1.5 “The company” means this firm “Charge Claims Ltd”, regulated following the settlement of the claim, after the company has
claims management company taken its fee
1.6 “Fee” means the fee of 25% plus VAT where applicable of the
Compensation, 5. Disclaimer
1.7 “Services” means the services provided by Charge Claims Ltd on
behalf of the client 5.1 The Company shall not be liable to you for any loss or damage
(other than which cannot by law be excluded). As a result of: The
2. Conduct of Engagement Company having acted on your instruction or following receipt of
any information from you; The Company’s services being
2.1 The client agrees by signing and returning the letter of authority to unavailable though any cause beyond our reasonable control.
be bound by the terms and instructs the company to provide the 5.2 The client understand that you could complain directly to the
service for such period that the company is allowed and if Company at no
reasonable possible able to complete the claim cost, with the ability to take matters further with the Financial
Ombudsman Service however wish to pursue your complaint
3. The Client via the company
You will be liable to The Company for and agree to indemnify
3.1 Agrees by signing the Letter of Authority to give the company their The Company against all actions, claims, costs, damages,
full authority and consent to pursue the claim with the institution on demands, expenses, liabilities, losses and proceedings The
their behalf Company directly or indirectly incurs or which are brought
3.2 Agrees to deal promptly with all reasonable requests by the against The Company if you have acted fraudulently, been
company for authority, information and documents and further negligent or breached your agreement with The Company. The
instructions that Company will not be held responsible for any action taken by
the company may require. Failure to comply with this term will give your financial institution as a result of any claim made on your
the company the right to terminate this agreement and the client will behalf.
be liable to reimburse the company for any costs incurred up to the
date of termination 5.3 The client agrees that any debt or liability incurred by you under
3.3 Agrees to immediately without fail advise the company of any this agreement shall be solely the responsibility of you, the
matters that may affect the claim account holder.
3.4 Assigns his/her/their full entitlement to any Compensation to the
company. The Client hereby agrees to the institution remitting the 6. Cancellation & Complaints
Compensation to the company and for the company to retain the
service Fee before paying the balance of the Compensatory deposit 6.1 You have 14 days from the date you return your application to
to the Client. Notwithstanding , should the compensatory deposit be cancel your claim. This should be in writing to Charge Claims,
paid directly to the client, The company will invoice the client the Ltd, PO Box 3575, Windsor, SL4 5YQ. All cancellations of claims
service fee which is payable immediately after the 14 day wait period will be at the discretion of The
3.5 Agrees that the company has the exclusive right to deal with the Company and subject to reasonable costs.
claim 6.2 If you are unhappy with The Company’s service you have the
3.6 agrees that If this Agreement is terminated by the right to complain. If you have a complaint please contact us at:
Client for any reason, to pay the company minimum service fee of info@chargeclaims.co.uk or by post at: Charge Claims Ltd, PO
£500 plus VAT if applicable or, if the Claim has already been started Box 3575, Windsor, SL4 5YQ. A copy of our complaint guide is
by the company and the company proceeds with the claim and the available at
claim is successful, the fee http://www.chargeclaims.co.uk/otherpages/complaint.htm
7 Governing Law
7.1 This Agreement shall be subject to the laws of England and
Wales.
Declaration
I/We confirm that I/We have read and understand the above terms and conditions and by signing below we confirm acceptance of
the terms and conditions with Charge Claims Ltd. I/We confirm that I/We have read and understand the data protection statement.
This agreement is a binding contract and by signing it you are accepting the terms and conditions.
Date: _________________________ Date: _________________________
QUESTIONNAIRE
You are required to complete this questionnaire in order that we can asses your claim. The details you provide will
assist us when compiling your claim
• Please use a separate PPI Questionnaire and Letter of Authority for each individual policy
• If it is a joint policy we will require both names and signatures
• You will be able to find most of the information required on your policy documentation
Your Details
Name (1): Name (2):
Telephone Number: Telephone Number:
Date of Birth: Date of Birth:
About the PPI

You will find this information on your policy document.
The company who sold you the policy:
What is the policy for?
How much was the loan for?
How long was the period of the loan?
When was the first payment made?
How much do you pay a month?
If you need any help filing out this form? Call 0845 869 8344
SUITABILITY CHECKLIST
When you were sold the policy your advisor should have made sure that the payment protection insurance was
appropriate for your circumstances at the time the advice was given.
Please select if any of the following are applicable.
I was not in work or self employed at the time of sale.
I was told that you had to take the PPI out at the same time as the loan.
I was not asked whether I had any other insurance which would cover the loan.
I was not told I could buy PPI elsewhere to cover the loan.
I was sold a policy which had age restrictions which I fell outside of.
I was led to believe that Payment Protection Insurance was compulsory.
I was told that I would stand more chance of getting the loan if i took the PPI.
It was not explained to me that there were certain exclusions within the policy.
I was pressured into buying the PPI.
I paid upfront for the PPI but it was not explained, that i could pay monthly.
My PPI was an upfront premium and I paid the loan early and received no refund.
You increased your loan and the PPI was increased automatically.
The Terms & Conditions of the small print were not fully explained to you.
Declaration
I/We confirm that I/We have completed the questionnaire to the best of my/our knowledge and confirm that it is a true and accurate
account of the advice I was given.
Date: _________________________ Date: _________________________
If you need any help filing out this form? Call 0845 869 8344

Please Send Your Completed Application Form To: No Win No Fee Claim UK Po Box 3575 Windsor Sl4 5yq

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Payment Protection Insurance

HOW TO START YOUR CLAIM

Please send your completed application form to:

What you need to do to begin your claim

Insurance Company policy is held with:__________________________________________________

Payment Protection Policy Number:

Name (1): _____________________________ Name (2): ____________________________

____________________ Postcode_________ ___________________ Postcode_________

To Whom it may Concern

Signature (1):_________________________ Signature (2):_________________________

Print name: _________________________ Print name: __________________________

Date: ______________________________ Date: _______________________________

Terms & Conditions

1. Definitions 4. The company will:

Signature (1):_________________________ Signature (2):_________________________

Date: _________________________ Date: _________________________

Name (1): Name (2):

Telephone Number: Telephone Number:

Date of Birth: Date of Birth:

About the PPI

The company who sold you the policy:

What is the policy for?

How much was the loan for?

How long was the period of the loan?

When was the first payment made?

How much do you pay a month?

Please select if any of the following are applicable.

I was not in work or self employed at the time of sale.

I was led to believe that Payment Protection Insurance was compulsory.

I was pressured into buying the PPI.

Signature (1):_________________________ Signature (2):_________________________

Date: _________________________ Date: _________________________

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