Ex Gratia Payment Confirmation
Ex Gratia Payment Confirmation

Your Details

Ex Gratia Payment Confirmation

Please complete the four boxes below then click the Submit button.

Claimant:

1. The Claimant wishes to receive a share of the EG Payment amount.
Please tick
By confirming that it wishes to receive its share of the EG Payment, the Claimant waives any rights and remedies against the Funder.
2. I confirm that I am duly authorised by Claimant to provide the above confirmations.
If the Claimant business is a limited company, it must be a current director of the company who authorises the above confirmations.