COMPENSATION TAX REFUND CLAIM

Name of Lender

First Name

Last Name

Date of Birth +

Email Address

Phone Number

Street Address

Address Line 2

City

Post Code

National Insurance Number
It’s on your National Insurance card, benefits letter, payslip, or P60. For example, ‘QQ 12 34 56 C’.

Form of Authority Declaration To HM Revenue and Customs (HMRC)

I confirm that I have lawfully contracted with Allison Allcott Ltd. and authorize the HM Revenue and Customs to comply with any request for Information that may be made, whether by telephone or in writing (including fax or e-mail).

I hereby appoint and authorize Allison Allcott Ltd. to act on my behalf to seek compensation in respect of all my Tax refunds. I confirm that Allison Allcott Ltd. have full delegated authority to act on my behalf and settle my claim.

ALLISON ALLCOTT LTD. Company Number: 10797673. Allison Allcott Ltd is regulated by the Financial Conduct Authority in respect of regulated claims management activities (FCA No: 838381) Registered with the Information Commissioners Office; registration number: ZA265588

By signing below, you agree to Allison Allcot Terms of Agreement and Complaint Policy

Sign here

clear

Date Signed (Date Today) +

Generate R40 Document

Once You Click "Generate My Form R40", we will send you a completed Tax Form for you to Sign Online and we will then do the rest.