Please complete all fields as accurately as possible. Or if you prefer you can call one of our experienced consultants on 0845 601 8025
 When we have completed our initial assessment we will contact you to take you through the next steps.

When you have completed this form please click on submit below to automatically send us your details. Should you then wish to retain our services we will send you documentation allowing us to proceed with your claim. This will include a letter of authority which you should sign allowing us to represent you in negotiations with your insurance company. This should then be posted back to us along with any documentation relevant to your claim.

Remember we work on a no-win no fee basis of 25% of the value of your compensation.

 
 
Personal Details

 Policy Holder 1 Policy Holder 2
Full Name
Date of Birth
Address
Preferred telephone number  
Email  
Best time of day to
contact you

  
 Endowment Information  
1 Policy Provider
  9 Were other methods of repaying your mortgage discussed? Eg repayment mortgage  
Yes
No
 
   
  10 Have you already complained?  
Yes
 No
  11 If yes, have you received a letter rejecting your complaint?  
Yes
 No
  12 Have you received a letter predicting a shortfall?  
Yes
No
  13 If yes, for how much?  
  14 Do you have more than one policy?  
Yes
No
  15 Any other information you feel is relevant  
2 Policy Number
3 Who advised you
4 Year policy commenced
5 Endowment maturity date
6 Name of mortgage provider
7 Expected retirement date
8 Do you feel you were made fully aware of the risks that the policy may not pay off your mortgage?
Yes
No
 
   
       
       
 
 
Don’t worry if you can’t find all the information that we ask for at this stage. The important thing is to contact us and we will take it from there. Where possible, please send us copies (not originals) of any documents that you think may help
Data Protection

Investor Compensation PLC is a Data Controller within the meaning of the Data Protection Act 1998 (the Act) and will process your personal information according to the requirements of the Act at all times. We will use the personal information you provide together with other information to asess your suitability and to execute the services that we provide,marketing by mail or telephone and administration purposes. If you do not want to receive such information, please inform the Data Protection Officer at:

Investor Compensation Plc
The Stansted Centre
Parsonage Road
Takeley
Essex
CM22 6PU

We may disclose your information to other companies and Data Controllers. By providing your sensitive personal information, you explicitly authorise Investor Compensation PLC to process your information. Where you provide information about another person, you confirm that they consent to us processing their personal information and sensitive personal data and that you collect any use of information notice on their behalf. You can request a copy of your personal information held by us for a small fee and to correct any inaccurate data.
I have read and understood the data protection statement.
   
 

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Investor Compensation has also successfully obtained significant amounts of compensation for those investors who have been mis-sold many other types of financial product. Examples include Splits (Zeros), SCARPS, precipice bonds, income drawdown and equities. Please contact us for further information.
  
Investor Compensation