Your name:

Your email:

Finance provider (the company you made monthly payments to - you could find this from your bank statements if unsure):

Account number, if known:

Did you arrange the finance independently, or did the dealership arrange the finance for you?:
I arranged itIt was arranged for me

What was the name of the dealership where you got the vehicle from (if known):

Vehicle Registration Number (if known):

Was the credit / finance agreement in your name, or in joint names?:
just mejoint

Can you recall the approximate year the finance agreement started (if you know the exact year please also type in the box)?:
Before April 2007After April 2007

Have you already made a claim about this yourself, or via another representative firm?:
Yes, I have tried to make a claimYes, another firm tried to claim for meNo

Is there anything else you'd like us to know at this point?: