Consumer Questionnaire

section A: about you A.1 your name and contact details your details details of anyone complaining with you surname title title first name(s) date of birth d d m m y y y y d d m m y y y y address for writing to you (including your postcode) daytime phone mobile home phone email A.2 if someone is complaining on your behalf (eg a relative or claims manager) please give us their details their name relationship to you address for writing to them (including postcode) their daytime phone their fax their email their ref A.3 what s the name of the financial business you re complaining about A.4 what s the policy number of the payment protection insurance you re complaining about section B: about the sale of the insurance B.1 when did you take out this payment protection insurance can t remember d d m m y y y y B.2 did the payment protection insurance provide single cover (to cover just you) or joint cover (to cover you and your partner) B.3 how was this insurance sold to you You might have been sold the insurance at a different time to when you took out your loan or credit..