SIMPLICITY CLAIMS | CLAIM FORM

Please complete the form below and we’ll get in touch with you regarding your possible claim.

Contact Details (*mandatory fields)

Title:

First Name:

Surname:

Email address:

Address:

Town / City

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Home tel:

Work tel:

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Policy Details

Please answer the following questions relating to your PPI policy:

Have you made a claim against your policy?

Yes No

If so, was the claim successful?

Yes No

Were you made aware that you could get PPI elsewhere?

Yes No

Were you given the full terms and conditions of the policy?

Yes No

Were you told that you would not get the loan unless you took out PPI?

Yes No

Were you unemployed or self-employed when you took out the policy?

Yes No

Was the full cost of the policy explained to you?

Yes No