PPI Questionnaire


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Please complete the PPI Claim Questionnaire as completely as possible.  Your answers will form the basis of your claim and will provide us with enough information to assess the likelehood of success.

* Denotes required field
Title:
First Name: *
Last Name: *
Tel: *
Email:
Town/City:
Best Time To Contact You:
Which company provided the policy?:
Original Loan Amount (if applicable) £:
When did the loan / credit card start?:
Loan term in months (if applicable):
When you took out the policy, were you self-employed, unemployed or retired?:
Did you have full sick-pay from your employer when you took out the policy?:
Was the PPI added to the loan or was it a separate policy?:
Did the loan last longer than the PPI term?:
Was it made clear that PPI was optional?:
Was PPI automatically included in the quote?:
Were you made aware about any exclusions such as existing medical conditions?:
Were you asked about your medical hisory at the time of sale?:
Any other comments?:

 

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