LOA E-sign Title*Please selectMrMrsMsMissDrSirRevProfHonFirst Name(s)* Last Name* Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Phone Number*Email Address* Address* postcode*this is here to make sure the customer clicks on the data8 dropdown Consent to process your data* I agree to the Privacy Notice. Think back to all the Lenders who you may have had a loan, credit card or mortgage with.Please select at least one lender.* Alliance & Leicester Argos Barclaycard Barclays Black Horse Capital One Egg Credit Card Halifax Bank of Scotland HSBC Lloyds TSB Marks & Spencer MBNA Mint Nationwide Building Society Natwest Royal Bank of Scotland Santander Santander Cards Tesco Virgin Please read the information below carefully. There is no charge for the check, we will issue you with further details to introduce you to one of our legal partners who will proceed with your claim.Letter of Authority to your Lender(s)Your signed Letter of Authority will give Investor Compensation (IC) the authority to make a Data Subject Access Request (DSAR) to the Bank on your behalf for the purposes of determining whether you have a claim that meets the criteria of our Legal Partners. There is no charge for us to determine whether the claim can be referred to our Legal Partners. Once IC has determined if you have a valid claim that can be referred to our Legal Partners, we will contact you to outline your options. You will be under no obligation to pursue a claim. Would you like to draw your signature or upload a photo?* Draw signature Upload photo of your signature Draw your signature here*Use your finger, stylus or mouse to draw. Please make sure to keep your signature contained within the box and that it is a true likeness of your signature.File*Write your signature in black pen on white paper, take a close-up photo of it, and then upload the photo. Please ensure that it is in the correct orientation.Accepted file types: jpg, png, jpeg, heic, Max. file size: 8 MB.HiddenDate Your signature will be added to a Letter of Authority, which will enable us to request information from your bank to determine whether you have a valid PPI claim. Once we have heard from your bank, we will let you know the next steps. There is no charge for this initial service.