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Testimonials
PBA Claim Application Form
springtide
2018-03-14T13:48:24+01:00
PBA Claim Application Form
Step
1
of
4
25%
Please be aware your details are used in the strictest confidence.
Title
*
Mr
Mrs
Miss
Ms
Dr
SGT
First Name
*
Surname
*
Maiden Name/Previous Name
*
Your Date Of Birth
*
Day
Month
Year
Address
*
House Number & Street Name
Address Line 2
City
ZIP / Postal Code
Home Telephone Number
Your number will not be passed to third parties. It is only for contacting you with win notification/ case status etc.
Mobile Telephone Number
*
Your number will not be passed to third parties. It is only for contacting you with win notification/ case status etc.
Email
Enter Email
Confirm Email
Where did you hear about us?
Please Select
Magazine/Newspaper Article
Google Search
Bing Search
Facebook
Yell
Yelp
FourSquare
Mirror Business Directory
Radio
TV Advert
Other
Please specify where
Have you been declared bankrupt or have you had an IVA over the past 25 years?
Yes
No
We are sorry, but due to these circumstances we would not be able to process a claim.
Which Bank/Building Society sold you the packaged bank account over the Past 25 Years?
*
HSBC
Halifax
Lloyds/TSB
Natwest
Royal Bank of Scotland
Alliance and Leicester
Barclays
Bank Of Scotland
Santander
Co Op Bank
Clydesdale Bank
Yorkshire Bank
Secure Trust
Think Money
Other
We are sorry, but we would not be able to claim back the management fee on your account as this is not a claimable package bank account.
Please Specify Name of Bank/Lender
*
Were you advised that the HSBC packaged bank account was necessary in order to
*
Open an account (no free bank account choice offered)
Obtain an overdraft facility
Increase my ability to get better credit
Made to feel privileged to be offered the upgrade
Other
Please Specify
*
How long have you had the HSBC packaged bank/building society account
*
1-2 Years
3-4 Years
5-6 Years
7-8 Years
9-10 Years
10 Years +
Please Specify
Roughly how much were you charged by HSBC per month?
*
£10.00 to £15.00
£15.00 to £20.00
£20.00 to £25.00
£25.00 or more
At the point of sale, did HSBC give you a Welcome Pack that detailed the Terms & Conditions of the Packaged Account?
*
Yes
No
At the point of sale, did the HSBC advisor check to see if you were eligible to use all of the insurance products offered?
*
Yes
No
At the time you opened or upgraded to the HSBC package bank account, did you already have any of the following insurance products?
Car Breakdown Cover
Accidental Death Cover
Gadget Insurance
Mobile Phone Insurance
Life Assurance
Travel Insurance
Identity Theft Protection
Home insurance with gadget/technology cover
None of the above
At or just before the point of sale of the HSBC package account, were you receiving any of the following state benefits?
*
Income support
Disability allowance
Job seekers allowance
Debt management support
None of the above
At the time you opened the HSBC Packaged Account, did you own or drive a car in the UK?
*
Yes
No
At the time you opened the HSBC Packaged Account, what type of phone did you own?
*
None
Company phone
Low value phone
Smartphone (With internet)
Were you advised that the Halifax packaged bank account was necessary in order to
*
Open an account (no free bank account choice offered)
Obtain an overdraft facility
Increase my ability to get better credit
Made to feel privileged to be offered the upgrade
Other
Please Specify
*
How long have you had the Halifax packaged bank/building society account
*
1-2 Years
3-4 Years
5-6 Years
7-8 Years
9-10 Years
10 Years +
Please Specify
*
Roughly how much were you charged by Halifax per month?
*
£10.00 to £15.00
£15.00 to £20.00
£20.00 to £25.00
£25.00 or more
At the point of sale, did Halifax give you a Welcome Pack that detailed the Terms & Conditions of the Packaged Account?
*
Yes
No
At the point of sale, did the Halifax advisor check to see if you were eligible to use all of the insurance products offered?
*
Yes
No
At the time you opened or upgraded to the Halifax package bank account, did you already have any of the following insurance products?
Car Breakdown Cover
Accidental Death Cover
Gadget Insurance
Mobile Phone Insurance
Life Assurance
Travel Insurance
Identity Theft Protection
Home insurance with gadget/technology cover
None of the above
At or just before the point of sale of the Halifax package account, were you receiving any of the following state benefits?
*
Income support
Disability allowance
Job seekers allowance
Debt management support
None of the above
At the time you opened the Halifax Packaged Account, did you own or drive a car in the UK?
*
Yes
No
At the time you opened the Halifax Packaged Account, what type of phone did you own?
*
None
Company phone
Low value phone
Smartphone (With internet)
Were you advised that the Lloyds TSB packaged bank account was necessary in order to
*
Open an account (no free bank account choice offered)
Obtain an overdraft facility
Increase my ability to get better credit
Made to feel privileged to be offered the upgrade
Other
Please Specify
*
How long have you had the Lloyds TSB packaged bank/building society account
*
1-2 Years
3-4 Years
5-6 Years
7-8 Years
9-10 Years
10 Years +
Please Specify
*
Roughly how much were you charged by Lloyds TSB per month?
*
£10.00 to £15.00
£15.00 to £20.00
£20.00 to £25.00
£25.00 or more
At the point of sale, did Lloyds TSB give you a Welcome Pack that detailed the Terms & Conditions of the Packaged Account?
*
Yes
No
At the point of sale, did the Lloyds TSB advisor check to see if you were eligible to use all of the insurance products offered?
*
Yes
No
At the time you opened or upgraded to the Lloyds TSB package bank account, did you already have any of the following insurance products?
Car Breakdown Cover
Accidental Death Cover
Gadget Insurance
Mobile Phone Insurance
Life Assurance
Travel Insurance
Identity Theft Protection
Home insurance with gadget/technology cover
None of the above
At or just before the point of sale of the Lloyds TSB package account, were you receiving any of the following state benefits?
*
Income support
Disability allowance
Job seekers allowance
Debt management support
None of the above
At the time you opened the Lloyds TSB Packaged Account, did you own or drive a car in the UK?
*
Yes
No
At the time you opened the Lloyds TSB Packaged Account, what type of phone did you own?
*
None
Company phone
Low value phone
Smartphone (With internet)
Were you advised that the Natwest packaged bank account was necessary in order to
*
Open an account (no free bank account choice offered)
Obtain an overdraft facility
Increase my ability to get better credit
Made to feel privileged to be offered the upgrade
Other
Please Specify
*
How long have you had the Natwest packaged bank/building society account
*
1-2 Years
3-4 Years
5-6 Years
7-8 Years
9-10 Years
10 Years +
Please Specify
*
Roughly how much were you charged by Natwest per month?
*
£10.00 to £15.00
£15.00 to £20.00
£20.00 to £25.00
£25.00 or more
At the point of sale, did Natwest give you a Welcome Pack that detailed the Terms & Conditions of the Packaged Account?
*
Yes
No
At the point of sale, did the Natwest advisor check to see if you were eligible to use all of the insurance products offered?
*
Yes
No
At the time you opened or upgraded to the Natwest package bank account, did you already have any of the following insurance products?
Car Breakdown Cover
Accidental Death Cover
Gadget Insurance
Mobile Phone Insurance
Life Assurance
Travel Insurance
Identity Theft Protection
Home insurance with gadget/technology cover
None of the above
At or just before the point of sale of the Natwest package account, were you receiving any of the following state benefits?
*
Income support
Disability allowance
Job seekers allowance
Debt management support
None of the above
At the time you opened the Natwest Packaged Account, did you own or drive a car in the UK?
*
Yes
No
At the time you opened the Natwest Packaged Account, what type of phone did you own?
*
None
Company phone
Low value phone
Smartphone (With internet)
Were you advised that the Royal Bank Of Scotland packaged bank account was necessary in order to
*
Open an account (no free bank account choice offered)
Obtain an overdraft facility
Increase my ability to get better credit
Made to feel privileged to be offered the upgrade
Other
Please Specify
*
How long have you had the Royal Bank Of Scotland packaged bank/building society account
*
1-2 Years
3-4 Years
5-6 Years
7-8 Years
9-10 Years
10 Years +
Please Specify
*
Roughly how much were you charged by Royal Bank Of Scotland per month?
*
£10.00 to £15.00
£15.00 to £20.00
£20.00 to £25.00
£25.00 or more
At the point of sale, did Royal Bank Of Scotland give you a Welcome Pack that detailed the Terms & Conditions of the Packaged Account?
*
Yes
No
At the point of sale, did the Royal Bank Of Scotland advisor check to see if you were eligible to use all of the insurance products offered?
*
Yes
No
At the time you opened or upgraded to the Royal Bank Of Scotland package bank account, did you already have any of the following insurance products?
Car Breakdown Cover
Accidental Death Cover
Gadget Insurance
Mobile Phone Insurance
Life Assurance
Travel Insurance
Identity Theft Protection
Home insurance with gadget/technology cover
None of the above
At or just before the point of sale of the Royal Bank Of Scotland package account, were you receiving any of the following state benefits?
*
Income support
Disability allowance
Job seekers allowance
Debt management support
None of the above
At the time you opened the Royal Bank Of Scotland Packaged Account, did you own or drive a car in the UK?
*
Yes
No
At the time you opened the Royal Bank Of Scotland Packaged Account, what type of phone did you own?
*
None
Company phone
Low value phone
Smartphone (With internet)
Were you advised that the Alliance and Leicester packaged bank account was necessary in order to
*
Open an account (no free bank account choice offered)
Obtain an overdraft facility
Increase my ability to get better credit
Made to feel privileged to be offered the upgrade
Other
Please Specify
*
How long have you had the Alliance and Leicester packaged bank/building society account
*
1-2 Years
3-4 Years
5-6 Years
7-8 Years
9-10 Years
10 Years +
Please Specify
*
Roughly how much were you charged by Alliance and Leicester per month?
*
£10.00 to £15.00
£15.00 to £20.00
£20.00 to £25.00
£25.00 or more
At the point of sale, did Alliance and Leicester give you a Welcome Pack that detailed the Terms & Conditions of the Packaged Account?
*
Yes
No
At the point of sale, did the Alliance and Leciester advisor check to see if you were eligible to use all of the insurance products offered?
*
Yes
No
At the time you opened or upgraded to the Alliance & Leicester package bank account, did you already have any of the following insurance products?
Car Breakdown Cover
Accidental Death Cover
Gadget Insurance
Mobile Phone Insurance
Life Assurance
Travel Insurance
Identity Theft Protection
Home insurance with gadget/technology cover
None of the above
At or just before the point of sale of the Alliance and Leicester package account, were you receiving any of the following state benefits?
*
Income support
Disability allowance
Job seekers allowance
Debt management support
None of the above
At the time you opened the Alliance and Leicester Packaged Account, did you own or drive a car in the UK?
*
Yes
No
At the time you opened the Alliance & Leicester Packaged Account, what type of phone did you own?
*
None
Company phone
Low value phone
Smartphone (With internet)
Were you advised that the Barclays packaged bank account was necessary in order to
*
Open an account (no free bank account choice offered)
Obtain an overdraft facility
Increase my ability to get better credit
Made to feel privileged to be offered the upgrade
Other
Please Specify
*
How long have you had the Barclays packaged bank/building society account
*
1-2 Years
3-4 Years
5-6 Years
7-8 Years
9-10 Years
10 Years +
Please Specify
*
Roughly how much were you charged by Barclays per month?
*
£10.00 to £15.00
£15.00 to £20.00
£20.00 to £25.00
£25.00 or more
At the point of sale, did Barclays give you a Welcome Pack that detailed the Terms & Conditions of the Packaged Account?
*
Yes
No
At the point of sale, did the Barclays advisor check to see if you were eligible to use all of the insurance products offered?
*
Yes
No
At the time you opened or upgraded to the Barclays package bank account, did you already have any of the following insurance products?
Car Breakdown Cover
Accidental Death Cover
Gadget Insurance
Mobile Phone Insurance
Life Assurance
Travel Insurance
Identity Theft Protection
Home insurance with gadget/technology cover
None of the above
At or just before the point of sale of the Barclays package account, were you receiving any of the following state benefits?
*
Income support
Disability allowance
Job seekers allowance
Debt management support
None of the above
At the time you opened the Barclays Packaged Account, did you own or drive a car in the UK?
*
Yes
No
At the time you opened the Barclays Packaged Account, what type of phone did you own?
*
None
Company phone
Low value phone
Smartphone (With internet)
Were you advised that the Bank Of Scotland packaged bank account was necessary in order to
*
Open an account (no free bank account choice offered)
Obtain an overdraft facility
Increase my ability to get better credit
Made to feel privileged to be offered the upgrade
Other
Please Specify
*
How long have you had the Bank Of Scotland packaged bank/building society account
*
1-2 Years
3-4 Years
5-6 Years
7-8 Years
9-10 Years
10 Years +
Please Specify
*
Roughly how much were you charged by Bank Of Scotland per month?
*
£10.00 to £15.00
£15.00 to £20.00
£20.00 to £25.00
£25.00 or more
At the point of sale, did Bank Of Scotland give you a Welcome Pack that detailed the Terms & Conditions of the Packaged Account?
*
Yes
No
At the point of sale, did the Bank Of Scotland advisor check to see if you were eligible to use all of the insurance products offered?
*
Yes
No
At the time you opened or upgraded to the Bank Of Scotland package bank account, did you already have any of the following insurance products?
Car Breakdown Cover
Accidental Death Cover
Gadget Insurance
Mobile Phone Insurance
Life Assurance
Travel Insurance
Identity Theft Protection
Home insurance with gadget/technology cover
None of the above
At or just before the point of sale of the Bank Of Scotland package account, were you receiving any of the following state benefits?
*
Income support
Disability allowance
Job seekers allowance
Debt management support
None of the above
At the time you opened the Bank Of Scotland Packaged Account, did you own or drive a car in the UK?
*
Yes
No
At the time you opened the Bank Of Scotland Packaged Account, what type of phone did you own?
*
None
Company phone
Low value phone
Smartphone (With internet)
Were you advised that the Santander packaged bank account was necessary in order to
*
Open an account (no free bank account choice offered)
Obtain an overdraft facility
Increase my ability to get better credit
Made to feel privileged to be offered the upgrade
Other
Please Specify
*
How long have you had the Santander packaged bank/building society account
*
1-2 Years
3-4 Years
5-6 Years
7-8 Years
9-10 Years
10 Years +
Please Specify
*
Roughly how much were you charged by Santander per month?
*
£10.00 to £15.00
£15.00 to £20.00
£20.00 to £25.00
£25.00 or more
At the point of sale, did Santander give you a Welcome Pack that detailed the Terms & Conditions of the Packaged Account?
*
Yes
No
At the point of sale, did the Santander advisor check to see if you were eligible to use all of the insurance products offered?
*
Yes
No
At the time you opened or upgraded to the Santander package bank account, did you already have any of the following insurance products?
Car Breakdown Cover
Accidental Death Cover
Gadget Insurance
Mobile Phone Insurance
Life Assurance
Travel Insurance
Identity Theft Protection
Home insurance with gadget/technology cover
None of the above
At or just before the point of sale of the Santander package account, were you receiving any of the following state benefits?
*
Income support
Disability allowance
Job seekers allowance
Debt management support
None of the above
At the time you opened the Santander Packaged Account, did you own or drive a car in the UK?
*
Yes
No
At the time you opened the Santander Packaged Account, what type of phone did you own?
*
None
Company phone
Low value phone
Smartphone (With internet)
Were you advised that the Co-Op packaged bank account was necessary in order to
*
Open an account (no free bank account choice offered)
Obtain an overdraft facility
Increase my ability to get better credit
Made to feel privileged to be offered the upgrade
Other
Please Specify
*
How long have you had the Co-Op packaged bank/building society account
*
1-2 Years
3-4 Years
5-6 Years
7-8 Years
9-10 Years
10 Years +
Please Specify
*
Roughly how much were you charged by Co-Op per month?
*
£10.00 to £15.00
£15.00 to £20.00
£20.00 to £25.00
£25.00 or more
At the point of sale, did Co-Op give you a Welcome Pack that detailed the Terms & Conditions of the Packaged Account?
*
Yes
No
At the point of sale, did the Co-Op advisor check to see if you were eligible to use all of the insurance products offered?
*
Yes
No
At the time you opened or upgraded to the Co-Op package bank account, did you already have any of the following insurance products?
Car Breakdown Cover
Accidental Death Cover
Gadget Insurance
Mobile Phone Insurance
Life Assurance
Travel Insurance
Identity Theft Protection
Home insurance with gadget/technology cover
None of the above
At or just before the point of sale of the Co-Op package account, were you receiving any of the following state benefits?
*
Income support
Disability allowance
Job seekers allowance
Debt management support
None of the above
At the time you opened the Co-Op Packaged Account, did you own or drive a car in the UK?
*
Yes
No
At the time you opened the Co-Op Packaged Account, what type of phone did you own?
*
None
Company phone
Low value phone
Smartphone (With internet)
Were you advised that the Yorkshire Bank packaged bank account was necessary in order to
*
Open an account (no free bank account choice offered)
Obtain an overdraft facility
Increase my ability to get better credit
Made to feel privileged to be offered the upgrade
Other
Please Specify
*
How long have you had the Yorkshire Bank packaged bank/building society account
*
1-2 Years
3-4 Years
5-6 Years
7-8 Years
9-10 Years
10 Years +
Please Specify
Roughly how much were you charged by your Yorkshire Bank per month?
*
£10.00 to £15.00
£15.00 to £20.00
£20.00 to £25.00
£25.00 or more
At the point of sale, did Yorkshire Bank give you a Welcome Pack that detailed the Terms & Conditions of the Packaged Account?
*
Yes
No
At the time you opened or upgraded to the Yorkshire Bank package bank account, did you already have any of the following insurance products?
Car Breakdown Cover
Accidental Death Cover
Gadget Insurance
Mobile Phone Insurance
Life Assurance
Travel Insurance
Identity Theft Protection
Home insurance with gadget/technology cover
None of the above
At or just before the point of sale of the Yorkshire Bank package account, were you receiving any of the following state benefits?
*
Income support
Disability allowance
Job seekers allowance
Debt management support
None of the above
At the time you opened the Yorkshire Bank Packaged Account, did you own or drive a car in the UK?
*
Yes
No
At the time you opened the Yorkshire Bank Packaged Account, what type of phone did you own?
*
None
Company phone
Low value phone
Smartphone (With internet)
Were you advised that the Clydesdale Bank packaged bank account was necessary in order to
*
Open an account (no free bank account choice offered)
Obtain an overdraft facility
Increase my ability to get better credit
Made to feel privileged to be offered the upgrade
Other
Please Specify
*
How long have you had the Clydesdale Bank packaged bank/building society account
*
1-2 Years
3-4 Years
5-6 Years
7-8 Years
9-10 Years
10 Years +
Please Specify
Roughly how much were you charged by your Clydesdale Bank per month?
*
£10.00 to £15.00
£15.00 to £20.00
£20.00 to £25.00
£25.00 or more
At the point of sale, did Clydesdale Bank give you a Welcome Pack that detailed the Terms & Conditions of the Packaged Account?
*
Yes
No
At the time you opened or upgraded to the Clydesdale Bank package bank account, did you already have any of the following insurance products?
Car Breakdown Cover
Accidental Death Cover
Gadget Insurance
Mobile Phone Insurance
Life Assurance
Travel Insurance
Identity Theft Protection
Home insurance with gadget/technology cover
None of the above
At or just before the point of sale of the Clydesdale Bank package account, were you receiving any of the following state benefits?
*
Income support
Disability allowance
Job seekers allowance
Debt management support
None of the above
At the time you opened the Clydesdale Bank Packaged Account, did you own or drive a car in the UK?
*
Yes
No
At the time you opened the Clydesdale Bank Packaged Account, what type of phone did you own?
*
None
Company phone
Low value phone
Smartphone (With internet)
Were you advised that the Other packaged bank account was necessary in order to
*
Open an account (no free bank account choice offered)
Obtain an overdraft facility
Increase my ability to get better credit
Made to feel privileged to be offered the upgrade
Other
Please Specify
*
How long have you had the Other Specified Bank packaged bank/building society account
*
1-2 Years
3-4 Years
5-6 Years
7-8 Years
9-10 Years
10 Years +
Please Specify
Roughly how much were you charged by your Other Specified Bank per month?
*
£10.00 to £15.00
£15.00 to £20.00