PPI ClaimsLead Claimant DetailsTitle *Please choose one...MrMsMissMrsDrFirst Name *Last Name *Date of Birth *National Insurance Number *Mobile *Landline *Best time to call *Email Address *Claimant AddressAddress *Town *Postcode *Claim DetailsPaid in year to 5 April *Please choose one...2019 (tax year: 6/April/2018 - 5/April/2019)2018 (tax year: 6/April/2017 - 5/April/2018)2017 (tax year: 6/April/2016 - 5/April/2017)2016 (tax year: 6/April/2015 - 5/April/2016)2015 (tax year: 6/April/2014 - 5/April/2015)Unique Taxpayer Reference (UTR - optional) UK interest and dividentsWith joint accounts only enter your share of the interest received.3.1 Net interest paid by banks, building societies etc, purchased life annuities and PPI payments - after tax taken off *3.1 Net interest paid by banks, building societies etc, purchased life annuities and PPI payments - after tax taken off *3.2 Tax taken off *3.3 Gross amount - the amount before tax taken off *3.4 Untaxed interest not included in box 3.3 *3.5 UK company dicidents (but do not add on the tax credit) *3.6 Dividents from UK authorised unit trusts, open-ended investment companied and investment trusts (but do not add on the tax credit) *3.7 Stock dividents - enter the appropriate amount in cash/cash equivalent od the share capital - without any tax *E-Signature & ConfirmationBy signing below I confirm sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco. For more information refer to our terms & conditions or privacy policy.