Make a claim - DRM Legal - Data Breach Compensation Experts

Make a claim2021-01-11T15:34:47+00:00

Find out if you can make a claim today by filling out our simple claim form below. We will be in touch as soon as we receive your claim. Alternatively, call our team if you are unsure whether you have a claim.

Can You Claim

Step 1 of 7

Contact Information
Full Name*
Mobile Number*
Address
Email*
Home/Work Number
Please confirm you are happy to receive documents by email?*
- Yes
- No
How did you hear about us?

About You
Date Of Birth*
Occupation
Nationality*
Are you a UK resident?*
- Yes
- No

The breach details
Name of the company who has/may have breached your data
Telephone Number
Address

Do you have an account number or reference?
Date of data breach
DD slash MM slash YYYY
Please provide a brief description of the data breach
(for example, personal data disclosed to a third party without your permission)

Date you discovered the breach
DD slash MM slash YYYY
Have you reported the breach to any organisation?
(e.g. The ICO, the police, or the organisation responsible for the breach
- Yes (if yes give details)
- No
Who did you report to?

How did you discover the breach?
Have you suffered any distress as a result of the breach?
If so, have you attended your GP? Please provide details of your GP and indicate if we can contact them to assist with your case?

Do you have any pre-existing vulnerability to distress or psychological trauma?
Have you suffered any financial loss as a result of the breach?
If so, please provide details of those losses and any documents in support.
Consent*
I agree to the privacy policy.
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