Register an issue

Company Name (hidden)
Company Email (hidden)
Date

DayMonthYear
Issue Reference:
Issue Reference:
REGISTERING AN ISSUE
Before we continue, we need to take a few details from you
Title (hidden)
Title*
First Name:*
Last Name:*
ClickUp (NAME HIDDEN)
ClickUp (RELATED ISSUE HIDDEN)
ClickUp (ADDRESS HIDDEN)
ClickUp (CONTACT METHOD HIDDEN)
ClickUp (CONTACT TIME HIDDEN)
ClickUp (UNABLE/UNWILLING HIDDEN)
Address:*

Address

Address Line 2

Town/CityState

Postcode
Mobile Phone: (if available)*
Please enter a valid phone number.
Mobile Phone: (if available) (disabled)*
Landline (optional):
Email*
example@example.com
Does your issue relate to?*

Retail Product or ServiceFinance AgreementBoth
Thank you for contacting us and we are sorry to hear that you have an issue with your finance agreement and your product or service. So that we can best help you, please start by letting us know the issue(s) you are having with your finance agreement.
Please describe the issue(s) that you are having with your finance agreement (max 200 words)*

0/200
Retailer's Name:*
Name of contact at retailer: (optional)
Please describe the issue(s) that you are having with your product or service (max 200 words)*

0/200
Upload images that are relevant to your issue

Cancelof
Have you contacted the retailer about the issue(s) you are having with your product or service?*

YesNo
Please click Submit to log your details with ourselves.
Was the retailer unable or unwilling to rectify the issue(s) to your satisfaction?*

UnableUnwilling
Could you please explain why the retailer was unable to help with your issue(s) (max 200 words)*

0/200
Could you please explain why the retailer was unwilling to help with your issue(s) (max 200 words)*

0/200
FCG Notes:*
7 Day acknowledgements sent:*

DayMonthYear
Final Investigation Results sent:*

DayMonthYear
Further Investigation result sent:*

DayMonthYear
Complaint Satisfied:*

YesNo
We will contact you about the issue(s) you have registered with us today. Please tick your preferred method(s) of contact.*

PhoneEmail
Please tick the best time for us to contact you by phone.

09:00 - 13:0014:00 - 17:0009:00 - 17:00
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REGISTERING AN ISSUE