Claim for.................................... (Reason for claim)
Claim Between......................................vs... ......................................
Date of first letter sent:-
Recorded delivery number:-
Signature obtained:- Yes / No
Any additional information sent:-
Correspondance received:- Yes / No
Dates of received Correspondance:- 1)
2)
3)
Date of Second letter sent:-
Recorded delivery number:-
Signature obtained:- Yes / No
Any additional information sent:-
Correspondance received:- Yes / No
Dates of received Correspondance:- 1)
2)
3)
Dates of court letters:-
1)
2)
3)
4)
5)
Settlement Offers made:-
1) Date:- Amount:- £ Conditions:- yes / no Rejected:- yes / no
2) Date:- Amount:- £ Conditions:- yes / no Rejected:- yes / no
3) Date:- Amount:- £ Conditions:- yes / no Rejected:- yes / no
Dates of hearings:-
1)
2)
3)
CONSUMER CREDIT AGREEMENT:-
CCA Request sent:-
Recorded delivery number:-
Signature obtained:- Yes / No
Any additional information sent:-
Date of default:- ( 12 working days after receipt, give 2 days to get to dept. )
Date of Offence:- ( 1 month after default date )
Correspondance received:- Yes / No / Partial
Dates of received Correspondance:-
1)
2)
3)
Information Received:-
1) Copy of CCA yes / no
2) Statement of account yes / no
3) Terms and Conditions yes / no
Date Offence Reported:-
Reported to:-
Recorded delivery number:-
Signature obtained:- Yes / No
Dates of received Correspondance:-
1)
2)
3)
SUBJECT ACCESS REQUEST:-
Subject Access Request letter sent:-
Recorded delivery number:-
Signature obtained:- Yes / No
Any additional information sent:-
Offence Committed:- yes / no
Date of Offence:- ( 40 days after receipt, give 2 days to get to correct dept. )
Correspondance received:- Yes / No / Partial
Dates of received Correspondance:-
1)
2)
3)
4)
5)
6)
7)
8)
Information Received:-
1) Copy of manual interventions yes / no
2) Statements of account yes / no
3) Recorded telephone conversations yes / no
4) Other yes / no
Information believed missing :-
1)
2)
3)
4)
5)
DATA PROTECTION ACT:-
Date that Breach of Data Protection act reported:-
Reported to:-
Recorded Delivery number:-
Signature Obtained:- yes / no
Correspondance received:-
1)
2)
3)
4)
5)
Claim for damages s.13 of Data protection Act:- yes / no
Settlement Offers made:-
1) Date:- Amount:- £ Conditions:- yes / no Rejected:- yes / no
2) Date:- Amount:- £ Conditions:- yes / no Rejected:- yes / no
Case for Damages under S.13 ‘Data Protection Act’
Court Hearing Case:-
Court proceedings entered:-
Claim number:-
1) Date ‘Notice of Issue’ Received :-
2) Date Response pack receieved:-
3) Defence entered :- yes / no Date:-
( £120 costs+ £5000 damages )
List of all further correspondance:-
Dates and recipients of all letters Sent:-
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
Dates and senders of letters received:-
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
Note:- Please add or delete items not required in any cases......Hope this helps.....
At last here is the word version....
Claim Between......................................vs... ......................................
Date of first letter sent:-
Recorded delivery number:-
Signature obtained:- Yes / No
Any additional information sent:-
Correspondance received:- Yes / No
Dates of received Correspondance:- 1)
2)
3)
Date of Second letter sent:-
Recorded delivery number:-
Signature obtained:- Yes / No
Any additional information sent:-
Correspondance received:- Yes / No
Dates of received Correspondance:- 1)
2)
3)
Dates of court letters:-
1)
2)
3)
4)
5)
Settlement Offers made:-
1) Date:- Amount:- £ Conditions:- yes / no Rejected:- yes / no
2) Date:- Amount:- £ Conditions:- yes / no Rejected:- yes / no
3) Date:- Amount:- £ Conditions:- yes / no Rejected:- yes / no
Dates of hearings:-
1)
2)
3)
CONSUMER CREDIT AGREEMENT:-
CCA Request sent:-
Recorded delivery number:-
Signature obtained:- Yes / No
Any additional information sent:-
Date of default:- ( 12 working days after receipt, give 2 days to get to dept. )
Date of Offence:- ( 1 month after default date )
Correspondance received:- Yes / No / Partial
Dates of received Correspondance:-
1)
2)
3)
Information Received:-
1) Copy of CCA yes / no
2) Statement of account yes / no
3) Terms and Conditions yes / no
Date Offence Reported:-
Reported to:-
Recorded delivery number:-
Signature obtained:- Yes / No
Dates of received Correspondance:-
1)
2)
3)
SUBJECT ACCESS REQUEST:-
Subject Access Request letter sent:-
Recorded delivery number:-
Signature obtained:- Yes / No
Any additional information sent:-
Offence Committed:- yes / no
Date of Offence:- ( 40 days after receipt, give 2 days to get to correct dept. )
Correspondance received:- Yes / No / Partial
Dates of received Correspondance:-
1)
2)
3)
4)
5)
6)
7)
8)
Information Received:-
1) Copy of manual interventions yes / no
2) Statements of account yes / no
3) Recorded telephone conversations yes / no
4) Other yes / no
Information believed missing :-
1)
2)
3)
4)
5)
DATA PROTECTION ACT:-
Date that Breach of Data Protection act reported:-
Reported to:-
Recorded Delivery number:-
Signature Obtained:- yes / no
Correspondance received:-
1)
2)
3)
4)
5)
Claim for damages s.13 of Data protection Act:- yes / no
Settlement Offers made:-
1) Date:- Amount:- £ Conditions:- yes / no Rejected:- yes / no
2) Date:- Amount:- £ Conditions:- yes / no Rejected:- yes / no
Case for Damages under S.13 ‘Data Protection Act’
Court Hearing Case:-
Court proceedings entered:-
Claim number:-
1) Date ‘Notice of Issue’ Received :-
2) Date Response pack receieved:-
3) Defence entered :- yes / no Date:-
( £120 costs+ £5000 damages )
List of all further correspondance:-
Dates and recipients of all letters Sent:-
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
Dates and senders of letters received:-
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
Note:- Please add or delete items not required in any cases......Hope this helps.....
At last here is the word version....
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