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Your Controlaccount reference number

Postcode or first line of address as per the letter you received

I confirm that I am the account holder on this case/I confirm to be duly authorised to manage this account by the account holder.

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Amount of refund

Authorisation code given for payment made

AWB number

Cheque clearance date

Cheque Number

Sort Code of beneficiary

Account Number of beneficiary

Cleared date

Correct commodity code

Credit query

Details of documentation

Full payment details

Information required

IBAN Number

List of invoice number/s paid

Payment date

Payment reference

Reason for change

Reason for query

Reason for refund

Reason why you are not responsible

Total amount paid

VAT exempt certificate (confirmation)

Payment made to (name)

Name on the account

Invoice numbers

Invoice number(s)

3rd Party contact details

Details of query

List of invoice numbers required

Additional information

Sort code (you paid into not your own)

Account number (you paid into not your own)

The sort/account number you have entered does not appear to match our client's details. These fields must contain the payment beneficiary details and not your own.

If you wish to proceed with the details currently entered, this could delay our processing times and we may have to return to you for further information.

New details of address/name

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You accept amendment charges that may incur *

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Please do not attempt to upload email (.msg/.eml/.mht), .zip or binary files. Total number of files should not exceed 25. Total file size should not exceed 25MB.