How to fill in this form Please fill in your personal details Pick the type of account you have (store card or loan) Fill in as much information as you can Scan and upload any supporting receipts or correspondence Submit the form Help with scanning your receipts and correspondence How to scan on an Apple device (opens in new window) How to scan on an Android device (opens in new window)
You will need: the name of who you spoke with at the retailer, when you spoke with them and what you talked about a copy of the receipt for the disputed purchase or missing refunds copies of any letters, emails, delivery confirmations or any other relevant documents (we can accept .png, .gif, .jpeg, .pdf file formats (maximum file size 5MB). If you don't send us this information we may not be able to help. We'll write to you again as soon as we've got an update.
Your details LengthErrorMessage MinMaxErrorMessage Please enter your full first and last names RegExpToMatchErrorMessage Date of birth Day Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 Please confirm your date of birth. This will help us identify your account. MinMaxErrorMessage Please enter your date of birth so we can find your details RegExpToMatchErrorMessage LengthErrorMessage MinMaxErrorMessage Please tell us your address RegExpToMatchErrorMessage MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage MinMaxErrorMessage Please tell us your postcode This doesn't appear to be a valid UK postcode. Please check and try again. Please provide a contact phone number in case we need to speak to you about this LengthErrorMessage MinMaxErrorMessage This is a mandatory field. Please enter a valid UK mobile number LengthErrorMessage MinMaxErrorMessage Please provide a contact number RegExpToMatchErrorMessage MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage MinMaxErrorMessage Please provide your email address Please provide a valid email address Type of account Store cardLoan Type of account MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Details of the store card purchase in dispute MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage The amount of the full purchase as shown on your store card statement MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Purchase date MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Original purchase date MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Please add a date from 1 to 31 Please add a date from 1 to 31 Please add a date from 1 to 31 RegExpToMatchErrorMessage Month Month January February March April May June July August September October November December MinMaxErrorMessage Please tell us the month RegExpToMatchErrorMessage Please tell us the year in four digits, e.g. 2021 MinMaxErrorMessage Please tell us the year in four digits, e.g. 2021 RegExpToMatchErrorMessage MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage The amount you are disputing as incorrectly charged MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage What is the reason for your dispute? (please tick) What is the reason for your dispute? (please tick) MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage I did not authorise this purchase MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage The purchase is shown on my statement twice MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage The purchase price is different to what is shown on my statement If so, please send us a copy of your sales receipt from the store or proof of purchase (we're unable to investigate without this) MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage This purchase was paid for by other means (cash, debit/credit card) If so, please send us a copy of your sales receipt from the store (we're unable to investigate without this) MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage I returned the item(s) MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Please send us a copy of your proof of refund/return from the store. If returned by post, send us proof of postage (we're unable to investigate without this). MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage I cancelled / didn't receive / never collected my order MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Please give the details of your dispute LengthErrorMessage MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Please tell us some details about your claim LengthErrorMessage MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Details of the loan purchase in dispute MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Details of the purchase in dispute MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage The amount of the entire purchase as shown on your store card statement MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Original purchase date MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Please add a date from 1 to 31 Please add a date from 1 to 31 Please add a date from 1 to 31 RegExpToMatchErrorMessage Month Month January February March April May June July August September October November December MinMaxErrorMessage Please tell us the month RegExpToMatchErrorMessage Please tell us the year in four digits, e.g. 2021 MinMaxErrorMessage Please tell us the year in four digits, e.g. 2021 RegExpToMatchErrorMessage the amount you are disputing as incorrectly charged MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage What is the reason for your dispute? (please tick) What is the reason for your dispute? (please tick) MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage The goods are faulty or damaged MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Has the retailer inspected the goods? Has the retailer inspected the goods? Yes No MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Was a manufacturing fault found? Was a manufacturing fault found? No Yes MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage The goods haven't been delivered but I've been asked to start paying MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage The wrong goods have been delivered MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage The order was cancelled prior to delivery but my loan hasn't been cancelled MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage I've only received part of my order MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage What is the cost of the item(s) you've not received £ MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage What is the cost? I was promised a refund but it's not showing on my account MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Please tell us some details about your claim LengthErrorMessage MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Any other supporting information If you spoke to the retailer about this issue, please let us know who you spoke to, when and the details of the conversations. MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage If you spoke to the retailer about this issue, please let us know who you spoke to, when and the details of the conversations MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Upload first document MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage If you need to send additional documents please upload here MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Upload 2nd document MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Upload 3rd document MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Upload 4th document MinMaxErrorMessage This is a mandatory field. RegExpToMatchErrorMessage Submit Thank you Your Disputes Form has been submitted. We'll contact you again as soon as we've got an update for you.