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Form Downloads

You may download the forms using the links below:

Payment Protection Insurance

 

Your Details
Contact Name:
Address:
Telephone Number:
Email Address:
     
Claim Information
Chargeback Claims are specialists in financial claims and our claims forms are the simplest around. You will need to complete one form for each loan account, credit card, mortgage or insurance policy. Please use the boxes below to indicate the number of forms you require
Payment Protection Insurance:
How would you like to receive your claims forms?
Are you subject to a debt management plan, IVA or bankruptcy?
Any other details:
How did you hear about us?

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what our customers are saying...

“ I didn’t have to pay a single penny upfront and I got my money back within 8 weeks. What more could I ask for? A superb service. ” Mr M Stallard, Bingley
“ Chargeback have been absolutely brilliant. Without them my wife and I would have let the banks get away with it. We just gave Chargeback a few details and they did the rest. ” Mr M Burchell, Crawley
“ Just to say I am very satisfied with all aspects of my claim and would not hesitate to recommend your company to others. If anyone asks, yours will be the first firm I mention. ” Mrs N Phelan, Bradford
“ Thank you for all your help and advice throughout my claim. Your service was excellent and things went much smoother than I thought they would. ” Mr G Breslin, Derry
“ I have already recommended you to all my family and friends. Everything was conducted professionally and quickly, thanks again. ” Mrs E Davison, Halifax
“ Chargeback reclaimed £18,990 worth of bank charges on my business account. The service was very straight forward and they took away all the hassle from claiming. ” Mr R Green, Sheffield
“ I would recommend this firm to anyone, it is a first class service. Thank you for all your help. ” Mr A Todd, Leeds
Introducers

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Regulated by the Ministry of Justice in respect of regulated claims management activities.
Our registration is recorded on the website www.claimsregulation.gov.uk

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