About you

Please supply some information about you below in order to help your lender(s) identify you, and any policies you may have held when we make a DSAR request (or equivalent) on your behalf

Potential refund

£1,000s

Harcus Parker Trustpilot — As of September 2023

Your Name

Title Please select your title

First Name Please enter your first name

Last Name Please enter your last name

Date of Birth (DD/MM/YYYY)

Required

Mobile Telephone Number It is important that you provide the correct telephone number as we will use this to update you about your refund Please enter a valid mobile telephone number This telephone number does not appear to be valid

Email Address So we can get in touch with you Please enter your email address This email address does not appear to be valid This email address doesn't look valid. . Would you like to fix? Yes, fix my email address

Current Address Enter your current postcode and click 'Find My Address'

Please enter a valid UK postcode, click 'Find My Address', then select your address Find My Address

Your Address

I confirm that the information I have provided is correct. I acknowledge that the contents of this form are confidential and that I have a genuine belief that I may have a PPI claim. I do not work for: A. a financial institution who may defend PPI claims, or B. a firm of solicitors who act in defending such claims, or C. another law firm or claims management company engaged in bringing similar claims. I also confirm that I have read and agree to your Terms of Contact in relation to being contacted about my claim via SMS, email and telephone as well as being notified of other services you provide that may be of interest to me. I understand that I can opt out of these communications at any time

You must confirm to proceed

Your personal information will be treated carefully in accordance with our Privacy Policy. We will contact you about claim opportunities using the contact details you provide. You can opt out of receiving communications from us at any time