To receive our no obligation claim pack, complete the form below and click 'Finish' at the bottom of the page. 

Name*:	Mr. Mrs. Miss Ms. Dr. Prof. Rev. Other	Your title, first name and surname
Address*:		Your house/flat name/number and street
Address (cont):		The remainder of your address
County:		The county you live in
Postcode*:		Your postcode
Date of Birth:		Your date of birth (dd/mm/yyyy)
Home Phone:		Your home telephone number
Mobile Phone:		Your mobile telephone number
Advert ID:		Leave blank if you do not have one  Whats this?
Email:		Your email address
Please select the number of forms you require below. For information on each of the types of claim click here. 1. Credit Cards: 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 2. Mortgage Accounts: 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 3. Personal Bank Accounts:   0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 4. Business Accounts/Credit Cards:   0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 5. GAP Insurance: 0 1 2 3 4 5 6 7 8 9 10 6. PPI Policies: 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 7. Store Cards: 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 8. Loans: 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 9. Credit/HP Agreements:   0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 10. Council Tax: 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 11. Personal Injury: 0 1 2 3 4 5 12. Extended Warranties: 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 13. Whole of Life Policies: 0 1 2 3 4 5 14. Child Tax Credit Refund: 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 15. CIS Refund 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16. Mileage Refund 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 17. Expenses Refund 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 18. Mechanics Refund 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Based on average claim values we estimate your total possible settlement to be in the region of £0.00**
I have read and understand the notes and terms below.

Details marked with a * must be completed.  For assistance, E-mail: support@bank-smart.co.uk

NOTE: **Estimate based on the information you have provided and averages for previous claims. This estimate is meant as a guide only and is in no way guaranteed. Your actual settlement could be much greater or much less than this estimate. STANDARD TERMS AND CONDITIONS: Full terms and conditions will be provided with your no obligation claim pack. Simply complete the form above and click Finish. You are under no obligation to use Bank-Smart until you sign the contract and return it to us by post. We will send you one reminder letter and will not contact you again should you choose not to use Bank-Smart for your financial and other claims. IMPORTANT TERMS: All claims are subject to our standard terms and conditions. A fee may apply if you decide to cancel, no charges are found or you submit duplicate claims. All claims are subject to our standard minimum fee.