PAYMENT PROTECTION INSURANCE CLAIM FORM

THISAUTHORITYWILLBESENTDIRECTLYTOYOURPPIPOLICYPROVIDERTOINFORMTHEMTHATYOUGIVE HALL AND HANLEYAUTHORITYTOACTONYOURBEHALF.

To whom it may concern: I/We refer to the financial conduct authority Handbook (Disp 2.4.16R which provides "A complaint may be brought on behalf of an eligible complaint, or a deceased person who would have been eligible complainant, by a person authorised by the eligible complainant or authorised by law."

The FCA states: "We understand that good practice in this area would mean both accepting and handling complaints via third parties and corresponding with such third parties as if they were the consumer, although this does not preclude firms from sending copies of correspondence to the consumer."

I/We confirm that I/we have a lawful contract with Hall & Hanley Ltd and have expressly consented that all communication and payment from you must be made direct to Hall & Hanley Ltd.

Please take this letter as authorisation for you to deal directly via email/telephone/fax with Hall & Hanley to provide any information that Hall & Hanley requests as necessary to pursue my/our complaint(s) fully. This authority will endure until further notice. A copy of this letter will have the same validity as the original.

All Future correspondence should be forwarded to Hall Hanley Ltd.

Compensation should be paid in form of a cheque made payable to: “Hall and Hanley

LTD Client Account

“PLEASE INVESTIGATE ALL LOANS/CREDIT CARDS/MORTGAGES THE CUSTOMER HAS WITH YOU”

Lender:

Agreement Number:

AccountHolder: DOB: Address:

PostCode:

Tel:Mobile: 2nd Account holder: 2ndDOB:

Address account is registered

to if different from Above

Post Code:

SIGNATURE: Date:

2nd AH SIGNATURE: Date:

THESALESADVISORSHOULDHAVEMADESUREPAYMENTPROTECTIONWASSUITABLEFOR YOU,TAKINGINTOCONSIDERATIONYOURPERSONALANDFINANCIALCIRCUMSTANCESAT THETIMEOFADVICE.

WHOWASTHEPOLICYWITH:AGREEMENTNO/ACCOUNTNO:

WHOSOLDYOUTHEPOLICY:APPROXIMATE STARTDATE:

HOWWASTHEPOLICYSOLD:

WHATWASYOUREMPLOYMENTSTATUS:

PLEASETICKYESORNOWHEREREQUIRED: Yes No Not Sure

WERE YOU TOLD THAT YOU HAD TO TAKE PPI AT THE SAME TIME?

DO YOU BELIEVE PPI WAS ADDED WITHOUT YOUR CONSENT?

WEREYOUASKEDIFYOUHADANYEXISTINGPPITHATWOULDCOVERYOU?

WEREYOUMADEAWAREYOUCOULDBUYPPIELSEWHERE?

WEREYOULEDTOBELIEVEPPIWASCOMPULSORY?

WEREYOUTOLDTHATYOUWOULDSTANDMORECHANCEOFGETTINGTHE FINANCE WITH PPI?

WASITEXPLAINEDTHATTHEREWEREEXCLUSIONSWITHINTHEPOLICYTHAT COULD AFFECTYOU?

DID YOU PAY UPFRONT FOR THE PPI AND NOT MADE AWARE THAT THERE

WERE SOME PPI POLICIES THAT YOU COULD PAY MONTHLY?

WERETHETERMSCONDITIONSSMALLPRINTEXPLAINEDTOYOU?

WAS THE FULL COST OF THE POLICY EXPLAINED TO YOU?

WERE YOU ASKED ABOUT YOUR MEDICAL HISTORY?

AREYOUCURRENTLYINDEBTMANAGEMENT, IVABANKRUPTCY ORINARREARS?

PLEASEMENTIONANYTHINGELSEYOUFEELYOUCANADDTOYOURCOMPLAINT: THISINCLUDES:HEALTHISSUES,WORKBENEFITS(SICKPAY),IFTHEPPIWASADDED AUTOMATICALLY?TERMSOFPOLICYNEVERDISCUSS