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your name and address

date

name and address of bank/broker/


credit card which sold the plan

policy number/credit card number

Dear Sirs,

I bought the above plan from you on (date – as near as possible). I now wish to
claim back my premiums plus interest. This policy was mis-sold, I contend, for the
following reason/s.

(choose at least one and possibly more of the following where applicable)

• I was self-employed and could not have claimed fully on the policy without ceasing
work – a more onerous condition than someone employed. I was not informed or
warned of this.

• I work for a family company and could not have claimed fully on the policy without
ceasing work – a more onerous condition than someone employed. I was not
informed or warned of this.

• I was unemployed and could not have claimed on the policy. I was not informed or
warned of this.

• I was retired in receipt of a pension and could not have claimed on the policy. I
was not informed or warned of this.

• I was due to retire during the line of the policy and could not have claimed on the
policy. I was not informed or warned of this.

• I would have been over the age limit during the life of the policy and could not
have claimed on the policy. I was not informed or warned of this.

• I was employed at the time but your staff did not inform me that any change to this
could invalidate sections of the policy during its life. I was not asked about any
intended charges or informed or warned of their effects on the policy.

• I have had a previous illness or other medical conditions but your staff did not ask
me about my medical history. I was not warned that previous conditions would be
excluded.

• I told your staff about my medical history but I was not warned this would
invalidate part of the policy.
• I told your staff about my medical history but I was assured there would be no
problem should I need to claim.

• Your staff stated or led me to believe that taking out a policy was a pre-condition
of applying for a loan.

• Your staff stated or led me to believe that taking out a policy would improve my
chances of a successful application for a loan.

• Your staff did not offer me a clear choice of the loan with and the loan without
insurance.

• Your staff did not give me an illustration showing the repayments with and without
insurance until after I signed for the insurance.

• Your staff dismissed my attempts to cancel the policy during the cooling-off period.

• Your staff painted a scenario where I would be reliant on the insurance which
would not have been true for me.

• Your staff subjected me to high pressure sales tactics, (insert the following if true)
including what might happen to my family if I failed to buy a policy.

• Your staff ignored me when I told them that I would not need a policy due to other
resources.

• Your staff did not fully explain the policy and its exclusions to me.

If you bought a policy for a fixed period – perhaps five or seven years – paying all
the premiums at the outset (they may have been added to your loan) but the loan
ended before the set period:

I wish to claim back premiums plus interest because the loan taken out on (insert
date) was repaid in full (insert date) and therefore it would have been impossible for
me to claim after that date.

If you have had a previous request for a refund of premiums plus interest turned
down add:

You previously turned down a similar request on (insert date). However, the
Financial Services Authority has ruled that terms debarring partial refunds are
unfair. And I note that on 20 April 2011 the high court dismissed the banking
industry’s legal challenge to the FSA’s PPI complaint-handling measures.

If you took out additional loans and were sold additional payment protection policies
add:
I also wish to claim back the premiums and interest on the policy (insert its
description) that I was sold by (insert name of seller) on (insert date) as this meant I
had two policies.

I now contend that I was mis-sold this policy. I claim back all the premiums and
interest I have paid in connection with this payment protection insurance policy plus
statutory interest at 8% (or whatever other rate the courts might order) from the first
payment that I made until the date of your settlement of this claim.

I would like a reply as soon as possible but, in any case, within the eight weeks
allowed for responses to complaints by the Financial Services Authority.

Yours faithfully

sign here

print name here ............................................

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