Application – Payday Claims

Client Information

Fill out the form below as accurate as possible to progress to the next step to start your application

Your Borrowing

Please tick the points below that apply to you

(If none of the above applies then leave blank)


Please indicate which of the following you have either received or been subject to at the time of applying for the payday loans

(If none of the above applies then leave blank)


Did your payday loan repayments ever cause you to go into an overdraft?


Was this overdraft planned or unplanned


Please describe how payday loans affected your day to day living


What was your financial situation at the time of taking the initial payday loan?


Were your combined payday loan repayments ever higher than your monthly income?


What was your employment status when you took out the loan(s)?

Your Expenditure

For each of the following, please specify how much you paid/pay each month towards this item at the time of your borrowing with this lender.

What is/was your monthly income at the time of borrowing

Mortgage/Rent payments

Travel, such as car repayments, petrol, train, bus, metro passes, insurance etc.

Other transport costs - metro pass, bus pass, train etc

Credit Card Bills

Building and Contents Insurance

Water Rates

Council Tax

Gas/Electricity

Childcare

School meals and School Travel

Food/Household

Landline and Mobile Phone Bills

Sky/Internet/Cable/TV License

Life Assurance

Medical/ Dental Health Costs

Pension Contributions

Other Misc Regular Expenditure

Generator Studios
Trafalgar Street
Newcastle Upon Tyne
NE1 2LA

info@paydayclaim.com
0191 462 3333

PaydayClaim.com is a trading style of Allay Claims Ltd. Allay Claims Ltd. Registered Office: Generator Studios, Trafalgar Street, Newcastle upon Tyne NE1 2LA Tel: 0191 462 0000. Company reg. no: 6836398. Allay Claims Ltd. is regulated by the Claims Management Regulator in respect of regulated claims management activities. Registration number CRM20000 recorded on www.gov.uk/moj/cmr. * A fee will be payable if we start the claim and you cancel outside the 14 day cooling off period. Other costs may be payable. See our Terms & Conditions for more information. Allay Claims Ltd is part of the Allay UK Ltd group of companies. Allay Claims Ltd is registered with the Information Commissioners Office; registration number: Z1810082.