Overdraft Claim

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Lead_Source
Deal Title
Deal Value
Have you had or do you have an overdraft with
Other Provider
TIP! More than one? You’ll be able to fill this in again after you start your first claim.

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First Name
Last Name
Email
example@example.com
Phone
Please enter a valid phone number.Format: 00000000000.
Confirm Current Address
Have you lived at any other addresses within the last 5 years?
Please confirm your previous address. To add more than one, select the + button.
Date

DayMonthYear
Date
Lender
- Letter of Authority
  
  This page will be sent to your provider to inform them that you give Claim Eazy authority to request information on your behalf.
  
  Name: {firstName} {lastName}
  
  Address: {address}
  
  Lender: {lender}
  
  Dear Sir or Madam,
  
  Authority to Act on My Behalf
  
  I, {firstName} {lastName}, residing at {address}, hereby authorise Claim Eazy (a trading style of Go North Group Limited, company registration number: 07908773) to act on my behalf in connection with the identification of a potential claim relating to my overdraft and any charges applied by you or any associated company.
  
  I further authorise Claim Eazy to request and receive any and all information, documentation and data held by {lender} in relation to me and this matter, including but not limited to any material to which I am entitled under a subject access request. Any such requests made by Claim Eazy should be treated as if they were made directly by me and responded to accordingly. This authority shall remain in force until revoked by me in writing.
  
  I request that this documentation and all future correspondence in relation to this matter is sent directly to Claim Eazy at The Old Barn, Moseley Hall Business Centre, Knutsford, Cheshire, WA16 8RB or electronically to customer.service@claimeazy.com.
  
  Go North Group Limited t/a Claim Eazy is authorised and regulated by the Financial Conduct Authority in respect of regulated Claims Management Activity (Firm reference number: 830631). These details can be confirmed by visiting the Financial Services Register, https://www.fca.org.uk/register.
  
  Yours Faithfully
- Signature
- Next Step - review and submit to start your claim!
  
  Submission of this form means you consent to Claim Eazy reviewing the eligibillity of your overdraft clam.
  
  We process personal data in line with the requirements of The General Data Protection Regulation (EU) 2016/679 and the Data Protection Act 2018. For further information about the way we use the personal data collected in this form see our privacy notice.
Should be Empty:

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