Reparation check form

Complete this form to find out if you are owed reparation.

If you have any questions, you can call us on 0800 090 090 between 8am and 7pm, Monday to Friday.

Reparation details

Is this inquiry for an: *

Your details

We need to be able to identify and contact you to complete this check. Please complete as many fields as possible.

Organisation details

Payment Information

We will use this information to set up payment by direct credit if your details are confirmed. You must include all the required information before your payment can be made.

Are you aware of any reparation which is owed to you? *

Description of Reparation

This information helps us to locate any reparation which is owed to you.

Declaration