Application – Payday Claims

Client Information

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

Previous Address 1

Previous Address 2

Previous Address 3

Previous Address 4

Previous Address 5

Previous Address 6

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 Income & Expenditure

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

What was your total combined monthly outgoings at the time of borrowing? (Please consider all outgoings such as; rent, mortgage, gas bills, phone bills, insurance, transport, child care, dental medical , tv broadband etc)

Generator Studios
Trafalgar Street
Newcastle Upon Tyne
0191 462 3333 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 3333. 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 * 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.