Request Form
Escalation Type:
--Select--
Customer Care Escalation
Deal Cancellation
Name of Person Raising the Request
Department:
--None--
Customer Care
Customer Services
Customer Support
Sales
Other
Application Ref No:
Application Status:
--None--
Val Call
Payment Processing
Dealt
Cancellation Reason
--None--
Admin / Document Error
Bought Elsewhere
Change of Customer Circumstances
Change of Vehicle
Customer Changed Mind
Dealer Issues
Insurance Cost
No Contact
Vehicle Quality Issue
Dealer Aware:
--None--
Yes
No
Dealer Notification Date (dd/mm/yyyy):
Dealer Not Aware Reason:
Complaint Type
--None--
Cancellation
Vehicle
Product
Service
Data
FOS
Sub Type:
--None--
Cosmetic Issue
Electrical Issue
Mechanical Issue
Missing Documents or Keys
Vehicle not as Described
Other
247 Care
Breakdown
Cosmetic Repair
Finance Agreement
GAP Insurance
Paint & Upholstery Protection
Warranty
Other
Application Query
Commission
Credit Search Dispute
Customer Service
Dealer Service
Refer a Friend
Other
Data Query
Data Removal
DSAR
Unsubscribe to Marketing
Product Sub-Type:
--None--
Affordability
Claim Rejected
Payment Query
Product Cancellation
Product Damaged
Product Not As Described
Product Not Received
Product Query
Other
Current Vehicle Mileage:
Is the Vehicle Driveable:
--None--
Yes
No
Complaint Summary: