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My Claim Group LOA

Unit 8a

Ashbrook Business Park

Longstone Road

Heald Green

Manchester

M22 5LB

Letter of Authority

Account Statements

I agree and accept that upon signing this Letter of Authority, I authorise The Claims Protection Agency Ltd, trading as “My Claim Group”, to submit a Data Subject Access Request (under s.45 of the Data Protection Act 2018 and under Article 15 of the General Data Protection Regulations), to the below named Bank to provide “My Claim Group” with full copies of my statements from inception until present/closed, or, a full list of transactions contained in my bank statements from inception until present/closed.

Clients Personal Details

First Name

Surname

Maiden Name or any other previous

Current Address

Date Of Birth

Additional Information

Previous Address	Account Num / Ref Num
Provider

The Claims Protection Agency Limited is registered in England and Wales Registration Number: 08467014. Authorised and Regulated by the Financial Conduct Authority: FCA No: 836470

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Your legal name

Your email address

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Timestamp

Audit

August 16, 2023 12:30 pm GMT

My Claim Group LOA Uploaded by ade goddard - ade.goddard@justizia.co.uk IP 5.61.121.100